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Individual

COLLEEN HALLIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
9990 LAKEWOOD BLVD, DOWNEY, CA 90240-4009
(562) 862-7950
(562) 862-9973
Mailing address
12572 VALLEY VIEW ST, GARDEN GROVE, CA 92845-2006
(714) 823-4400
(714) 823-4404

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15024
CA
208100000X
Physical Medicine & Rehabilitation Physician
10524
CA

Other

Enumeration date
05/29/2012
Last updated
05/29/2012
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