Provider Demographics
NPI:1720413669
Name:HARLOW, DONALD II (COTA/L)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:HARLOW
Suffix:II
Gender:M
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 GOLDFINCH DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-4919
Mailing Address - Country:US
Mailing Address - Phone:803-406-3040
Mailing Address - Fax:
Practice Address - Street 1:1314 GOLDFINCH DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-4919
Practice Address - Country:US
Practice Address - Phone:803-406-3040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0131001209224Z00000X
0131001209224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant