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Individual

CHRISTINE HALVERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, OTR/L

Contact information

Practice address
14050 NICOLLET AVE, BURNSVILLE, MN 55337-5710
(270) 844-2248
Mailing address
16 WHITE BIRCH LN, GANSEVOORT, NY 12831-1142

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029259-01
NY
225X00000X
Occupational Therapist
105771
MN

Other

Enumeration date
10/25/2018
Last updated
10/08/2024
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