Organization
HORIZON THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY DENMARK HALTERMAN OTR/L (OTR/L)
(912) 318-5466
Entity
Organization
Contact information
Practice address
604 PEBBLE BEACH CT, MARTINEZ, GA 30907-9536
(912) 318-5466
Mailing address
604 PEBBLE BEACH CT, MARTINEZ, GA 30907-9536
(912) 318-5466
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005319
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003113656A
—
GA
01
—
1609159102
PROVIDER NPI
—
Enumeration date
04/22/2016
Last updated
04/22/2016
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