Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Renee Harris, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1205116589

Jacqueline Renee Harris, COTA/L is an Occupational Therapy Assistant in Phoenix, Arizona. Licensed in Arizona, Michigan and Ohio. Registered with an NPI since 2011.

Licensed in
AZ, MI, OH
In the registry since
2011
Specialties on file
3
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

7887 N 16th St Unit #125
Phoenix, AZ 85020-4417
Phone: (419) 908-0892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 4860 (AZ)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 04337 (OH)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 52020007306 (MI)

Record details

NPI number1205116589
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedAugust 18, 2011
Last updated in NPPESAugust 18, 2011

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