Individual
MRS. KELLY HALPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 AUTUMN LN, WEST SAND LAKE, NY 12196-2401
(518) 674-1734
Mailing address
11 AUTUMN LN, WEST SAND LAKE, NY 12196-2401
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002351-1
NY
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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