Individual
MS. ANNEMARIE HALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
40 BAUER ST, TAPPAN, NY 10983-1708
(845) 680-9654
Mailing address
40 BAUER ST, TAPPAN, NY 10983-1708
(845) 680-9654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
001077-1
NY
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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