IndividualActive
Ayesha Harris, COTA/L, CAPS
NPI 1649817735 · Environmental Modification Occupational Therapy Assistant · Jacksonville, FL
Provider details
- NPI number
- 1649817735
- Entity type
- Individual
- Primary specialty
- Environmental Modification Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L, CAPS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
13521 Stone Pond Dr
Jacksonville, FL 32224-1626
Phone: (904) 800-9874
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 17391
Jacksonville, FL 32245-7391
Registry dates
- Enumerated
- 2019-12-08
- Last updated
- 2019-12-08
- Certified
- 2019-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.