Provider Demographics
NPI:1851630396
Name:HARRIS, MARGARET MELISSA (OTR)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:MELISSA
Last Name:HARRIS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:MELISSA
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:9194 SHOAL CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32312-4077
Mailing Address - Country:US
Mailing Address - Phone:850-510-6672
Mailing Address - Fax:
Practice Address - Street 1:1650 PHILLIPS RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5304
Practice Address - Country:US
Practice Address - Phone:850-216-3017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8753225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist