Provider Demographics
NPI:1336249838
Name:HARRIS, WILLIAM HOWARD (OTR)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HOWARD
Last Name:HARRIS
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2445 ALCLOBE CIR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-8970
Mailing Address - Country:US
Mailing Address - Phone:407-234-6954
Mailing Address - Fax:
Practice Address - Street 1:5950 LAKEHURST DR
Practice Address - Street 2:SUITE 177
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8345
Practice Address - Country:US
Practice Address - Phone:407-903-7888
Practice Address - Fax:407-903-7888
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT005297225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics