Individual
PATRICIA ANNE HALLIWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 E 120TH ST RM 2199, LOS ANGELES, CA 90059-3052
(424) 338-2444
(310) 668-4103
Mailing address
1720 E 120TH ST RM 2199, LOS ANGELES, CA 90059-3052
(424) 338-2444
(310) 668-4103
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
10381
CA
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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