| NPI | 1649251091 |
|---|---|
| Former Name | MEKEIA D HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2023) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 9619) |
| 225100000X Physical Therapist (Licence: AZ 9447) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-03-07 |