Individual
IAN HASLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
708 MAIN ST, HARLEYSVILLE, PA 19438-1636
(267) 932-9177
(267) 932-9180
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT029066
PA
Other
Enumeration date
11/19/2020
Last updated
05/11/2021
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