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Organization
MAXINE HALLER AND ASSOCIATES
Active
Organization
MAXINE HALLER AND ASSOCIATES
Active
Other names
KidsBrainTree Fort Collins
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE HALLER OTR/L (OWNER)
(614) 312-7045
Entity
Organization
Contact information
Practice address
3932 JOHN F KENNEDY PKWY UNIT 10F, FORT COLLINS, CO 80525-3085
(970) 818-8765
Mailing address
7003 AVONDALE RD, FORT COLLINS, CO 80525-7084
(970) 818-8768
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
NULL
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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