Individual
DAVID JON HALLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2714 CENTER LAKE DR, SPIRIT LAKE, IA 51360-7268
(712) 320-2722
Mailing address
2714 CENTER LAKE DR, SPIRIT LAKE, IA 51360-7268
(712) 320-2722
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00807
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421333616001
EMPLOYER ID NUMBER
IA
Enumeration date
06/27/2010
Last updated
06/27/2010
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