Individual
JENNIFER HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 NORTHWOOD CIR, NEW ALBANY, OH 43054-9057
(614) 245-6035
Mailing address
1165 NORTHWOOD CIR, NEW ALBANY, OH 43054-9057
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02994
OH
Other
Enumeration date
11/11/2018
Last updated
11/11/2018
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