Mr. Willie Clarence Harris IV, LOTR
Mr. Willie Clarence Harris IV, LOTR is an Occupational Therapist in Slidell, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2021
Practice location Address checks out
625 Bellingrath LnSlidell, LA 70458-2262
Phone: (504) 931-8067
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OTT.200561 (LA) |
|---|
Record details
| NPI number | 1669065231 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LOTR |
| Sole proprietor | Yes |
| NPI enumerated | February 15, 2021 |
| Last updated in NPPES | February 15, 2021 |
| Certification date | February 15, 2021 |
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