Individual
SEAN DANIEL O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1405 4TH AVE NW # 296, ARDMORE, OK 73401-2708
(580) 795-4561
(580) 223-6448
Mailing address
1405 4TH AVE NW # 296, ARDMORE, OK 73401-2708
(580) 795-4561
(580) 223-6448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1097
OK
Other
Enumeration date
03/19/2007
Last updated
10/19/2010
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