Individual
CODY J HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
103 BOULDER POINT DR, PLYMOUTH, NH 03264-3168
(603) 536-1881
(603) 238-2198
Mailing address
374 LADNER RD, EASTON, ME 04740-4316
(207) 227-9957
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4562
ME
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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