Provider Demographics
NPI:1639221922
Name:HARRIS, ANN ELIZABETH (PT)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:ELIZABETH
Last Name:HARRIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:ANNIE
Other - Middle Name:ELIZABETH
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSPT
Mailing Address - Street 1:4128 ALDENHAM DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7311
Mailing Address - Country:US
Mailing Address - Phone:469-286-9668
Mailing Address - Fax:
Practice Address - Street 1:4128 ALDENHAM DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7311
Practice Address - Country:US
Practice Address - Phone:469-286-9668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2014-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10787312251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty