Individual
MARNIE NIX HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 GANDY ST NE, RUSSELLVILLE, AL 35653-1913
(256) 332-3773
Mailing address
3864 HIGHWAY 93, RUSSELLVILLE, AL 35654-9567
(205) 486-2366
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3409
AL
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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