Individual
MRS. PATRICIA SUE HALLERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
301 NE TRILEIN DR STE 4, ANKENY, IA 50021-2170
(319) 366-8714
Mailing address
371 PRAIRIE VIEW CIR, FAIRFAX, IA 52228-9504
(319) 845-4033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01165
IA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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