Individual
MRS. CHANA VAN HALEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
19 HILLSIDE CT, SUFFERN, NY 10901-2107
(845) 270-0030
Mailing address
19 HILLSIDE CT, SUFFERN, NY 10901-2107
(845) 270-0030
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008765-1
NY
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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