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1609159102
MALLORY DENMARK HALTERMAN
AUGUSTA, GA
NPI
1609159102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: GA OT005319)
Enumeration Date
2011-09-21
Last Update Date
2021-08-25
Business Address
MALLORY DENMARK HALTERMAN MHS, OTR/L
3648 WALTON WAY EXT
AUGUSTA, GA 30909-6660
Phone number: 706-434-0799
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Mailing Address
MALLORY DENMARK HALTERMAN MHS, OTR/L
302 BASTON RD
MARTINEZ, GA 30907-2906
Phone number: 706-447-8700
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