Individual
RANI E HALLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
214 FLORA LAKE CIR, SAINT AUGUSTINE, FL 32095-8962
(480) 600-5728
Mailing address
214 FLORA LAKE CIR, SAINT AUGUSTINE, FL 32095-8962
(480) 600-5728
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16490
FL
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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