Individual
THERESA J HALLENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3 POST OFFICE RD, WALDORF, MD 20602-2756
(301) 540-6140
(301) 540-5190
Mailing address
20410 CENTURY BLVD, NRH REHABILITATION NETWORK - SUITE 215, GERMANTOWN, MD 20874-1186
(301) 540-6140
(301) 540-5190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06359
MD
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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