Individual
MICHELE HALBERDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
625 S WAKEFIELD ST, ARLINGTON, VA 22204-1480
(412) 654-6426
Mailing address
2615 3RD ST N, ARLINGTON, VA 22201-1215
(412) 654-6426
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119006704
VA
225XP0200X
Pediatric Occupational Therapist
06197
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119006704
VIRGINIA BOARD OF MEDICINE OT LICENSE
VA
01
—
06197
MARYLAND STATE OCCUPATIONAL THERAPY LICENSE
MD
Enumeration date
11/25/2013
Last updated
02/23/2023
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