Individual
CONNIE HALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20900 ROLAND HEIGHTS RD, ROLAND, AR 72135-9685
(501) 847-2555
Mailing address
20900 ROLAND HEIGHTS RD, ROLAND, AR 72135-9685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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