NPI 1043836455
Katrina Harley
Practice location
- Address
- 5024 Grassy Knoll Dr, Tavares, FL 32778-6211
- Phone
- (352) 434-8540
- Fax
- (352) 609-2097
Registered specialties
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
Registry record
- NPI
- 1043836455
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jun 2020
- Record last updated
- 22 Jun 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.