Provider Demographics
NPI:1467863183
Name:HARFORD, VERONIKA (OTR/L)
Entity type:Individual
Prefix:
First Name:VERONIKA
Middle Name:
Last Name:HARFORD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 S CHARLES ST
Mailing Address - Street 2:APARTMENT 257
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-4867
Mailing Address - Country:US
Mailing Address - Phone:732-233-3708
Mailing Address - Fax:
Practice Address - Street 1:1901 S CHARLES ST
Practice Address - Street 2:APARTMENT 257
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-4867
Practice Address - Country:US
Practice Address - Phone:732-233-3708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07325225X00000X
PAOC012848225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist