Individual
MRS. KATHLEEN HALLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11240 WAPLES MILL RD, 101, FAIRFAX, VA 22030-6078
(703) 237-2219
Mailing address
1910 MIRACLE LN, FALLS CHURCH, VA 22043-1520
(703) 346-8631
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119005828
VA
Other
Enumeration date
12/03/2014
Last updated
05/31/2021
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