Individual
JENNIFER O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2900 VETERANS WAY, VIERA, FL 32940-8007
(321) 637-3788
Mailing address
2900 VETERANS WAY, VIERA, FL 32940-8007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
32189
FL
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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