Provider Demographics
NPI:1144472309
Name:HARRISON, VERONICA LYNN (OTR/L)
Entity type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:LYNN
Last Name:HARRISON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19822 SANDYEDGE DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-6022
Mailing Address - Country:US
Mailing Address - Phone:914-357-3965
Mailing Address - Fax:
Practice Address - Street 1:19822 SANDYEDGE DR
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-6022
Practice Address - Country:US
Practice Address - Phone:914-357-3965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT2350225X00000X
NY012515-1225X00000X
NC16371225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist