Individual
MRS. KOIKI XAN HALLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1999 OAKWOOD RD, ORTONVILLE, MI 48462-8536
(248) 627-2177
Mailing address
1999 OAKWOOD RD, ORTONVILLE, MI 48462-8536
(248) 627-2177
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201004539
MI
Other
Enumeration date
07/31/2009
Last updated
04/27/2015
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