Individual
NICOLE RHEANNE HALLUMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
8103 NORTH HOLW, SAN ANTONIO, TX 78240-2387
(210) 558-9001
(210) 558-9010
Mailing address
8103 NORTH HOLW, SAN ANTONIO, TX 78240-2387
(210) 558-9001
(210) 558-9010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209942
TX
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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