Individual
EILIANA HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10330 E ROSE HILL ST, TUCSON, AZ 85747-5962
(520) 304-9377
Mailing address
10330 E ROSE HILL ST, TUCSON, AZ 85747-5962
(520) 304-9377
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5700
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010494529-01
TRICARE
AZ
Enumeration date
02/10/2017
Last updated
02/10/2017
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