Individual
KELLY E HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11 S OLIVE ST FL 3, MEDIA, PA 19063-3317
(610) 745-2233
Mailing address
11 S OLIVE ST FL 3, MEDIA, PA 19063-3317
(610) 745-2233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
08751
MD
225X00000X
Occupational Therapist
Primary
OC016216
PA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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