BRIAN HALOG

MILWAUKIE, OR
NPI1558089565
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  4258)
Enumeration Date2022-08-16
Last Update Date2022-08-16
Business Address
BRIAN HALOG
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5202
Mailing Address
BRIAN HALOG
836 FRUIT STAND CIR
VACAVILLE, CA 95688-2570
Phone number: 209-406-4996
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