Individual
MARISSA JANE HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(281) 997-8509
Mailing address
1203 CAMBRIDGE DR, FRIENDSWOOD, TX 77546-5274
(409) 692-9412
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
125021
TX
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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