Individual
GABRIEL HALLANCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
140 TOKEENA RD, SENECA, SC 29678-1744
(864) 882-1642
(864) 888-1411
Mailing address
140 TOKEENA RD, SENECA, SC 29678-1744
(864) 882-1642
(864) 888-1411
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4742
SC
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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