Doctor Name: | MR. MARK GARRY HARRIS |
NPI Number: | 1154531036 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 012876 |
Business Practice Address: | 515 Main St Olean General Hospital Olean, NY - 147601513 |
Business Phone Number: | 7163756256 |
Business Fax Number: | 7163756410 |
Mailing Address: | 543 Fountain St, OLEAN |
State: | NY |
Postal Code: | 147601115 |
Phone Number: | 7163727703 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251C2600X |
License Number: | 012876 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Cardiopulmonary |
Taxonomy Definition: |