Individual
BRIANNE HALLIWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
15930 19 MILE RD STE 129, CLINTON TOWNSHIP, MI 48038-1155
(586) 286-9644
(586) 286-9647
Mailing address
5939 MONTGOMERY DR, SHELBY TOWNSHIP, MI 48316-4332
(586) 894-3519
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013089
MI
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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