# MAXINE HALLER AND ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KidsBrainTree Fort Collins
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154953487
- **Authorized official:** MAXINE HALLER OTR/L (OWNER)
- **Authorized official phone:** (614) 312-7045

## Contact information

- **Practice address:** 3932 JOHN F KENNEDY PKWY UNIT 10F, FORT COLLINS, CO 80525-3085
- **Practice address phone:** (970) 818-8765
- **Mailing address:** 7003 AVONDALE RD, FORT COLLINS, CO 80525-7084
- **Mailing address phone:** (970) 818-8768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | NULL | Yes |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2020
- **Last updated:** 02/05/2020