Individual
SHERRI LYNN HALLIWILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
10478 W 300 S, LAGRANGE, IN 46761-9227
(260) 319-6077
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002797A
IN
224Z00000X
Occupational Therapy Assistant
5202008063
MI
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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