CODY J HALVORSON

PLYMOUTH, NH
NPI1417711508
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ME  OT4562)
Enumeration Date2024-02-08
Last Update Date2024-02-08
Business Address
CODY J HALVORSON OTR/L
103 BOULDER POINT DR
PLYMOUTH, NH 03264-3168
Phone number: 603-536-1881
Mailing Address
CODY J HALVORSON OTR/L
374 LADNER RD
EASTON, ME 04740-4316
Phone number: 207-227-9957