MEDICARE: MARIANNE HALE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	208477	TX

General Provider Information

NPI Number	:	1801036785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIANNE HALE

Provider Business Mailing Address
First Line	:	10200 RICHMOND AVE STE 155
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-4118
Country	:	US
Telephone Number	:	713-256-1377
Fax Number	:

Provider Business Practice Location Address
First Line	:	10200 RICHMOND AVE STE 155
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-4118
Country	:	US
Telephone Number	:	713-256-1377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2009
Last Update Date	:	03/04/2009

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Directions to “ MARIANNE HALE ” Practice Location

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