Provider Demographics
NPI:1326027939
Name:HARASH-KANTOR, NURIT S (MS, OTR)
Entity Type:Individual
Prefix:MRS
First Name:NURIT
Middle Name:S
Last Name:HARASH-KANTOR
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:MISS
Other - First Name:NURIT
Other - Middle Name:S
Other - Last Name:HARASH-KANTOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR
Mailing Address - Street 1:2445 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-2216
Mailing Address - Country:US
Mailing Address - Phone:765-471-2918
Mailing Address - Fax:765-471-2918
Practice Address - Street 1:2445 E STATE ST
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-2216
Practice Address - Country:US
Practice Address - Phone:765-471-2918
Practice Address - Fax:765-471-2918
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31000469A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000315847OtherBLUE CROSS/ BLUE SHEILD
IN213520Medicare ID - Type Unspecified