Provider Demographics
NPI:1750111829
Name:HALAMAN, MARITES SACANLI (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MARITES
Middle Name:SACANLI
Last Name:HALAMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 PARKER HILL RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05156-9393
Mailing Address - Country:US
Mailing Address - Phone:802-591-2077
Mailing Address - Fax:
Practice Address - Street 1:591 PARKER HILL RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VT
Practice Address - Zip Code:05156-9393
Practice Address - Country:US
Practice Address - Phone:802-591-2077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT072.0060990225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist