Provider Demographics
NPI:1538194212
Name:HARRIS, JAIME L (MS, ATC)
Entity type:Individual
Prefix:MS
First Name:JAIME
Middle Name:L
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 CHERRY CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-1401
Mailing Address - Country:US
Mailing Address - Phone:410-833-3267
Mailing Address - Fax:
Practice Address - Street 1:7201 ROSSVILLE BLVD
Practice Address - Street 2:PHYSICAL EDUCATION BUILDING D
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-3855
Practice Address - Country:US
Practice Address - Phone:410-780-6764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital