Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REGINALD LASALLE HARRY, COTA/L
Active Sole ProprietorREGINALD LASALLE HARRY, COTA/L is a Occupational Therapy Assistant healthcare provider located in RIDGEWAY, South Carolina. NPI 1124684477 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · RIDGEWAY, SC
Registration Details
- NPI Number
- 1124684477
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2019 (7.2562080491807 yrs)
- Last Updated
- May 13, 2019
- License
-
2412 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
117 BELLFIELD RDRIDGEWAY, SC, 291308261Browse SC providers · Browse ZIP 29130
- Phone
- 8033372257
- Fax
- 8033372255
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.