Provider Demographics
NPI:1932637857
Name:HARMON, DANA SUZANNE (OTR)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:SUZANNE
Last Name:HARMON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3529 NANCY CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-1109
Mailing Address - Country:US
Mailing Address - Phone:214-868-2222
Mailing Address - Fax:
Practice Address - Street 1:13720 MIDWAY RD STE 107
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75244-4313
Practice Address - Country:US
Practice Address - Phone:214-646-1449
Practice Address - Fax:214-699-8962
Is Sole Proprietor?:No
Enumeration Date:2017-05-24
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116068225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics