Individual
DANETTE RENEE HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2 E TILDEN DR, BROWNSBURG, IN 46112-1648
(317) 456-0955
Mailing address
2 E TILDEN DR, BROWNSBURG, IN 46112-1648
(317) 456-0955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005245A
IN
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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