Individual
MAIYA HALASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 POPLAR AVE, BRISTOL, PA 19007-4514
(215) 630-1870
Mailing address
67 POPLAR AVE, BRISTOL, PA 19007-4514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01140400
NJ
225X00000X
Occupational Therapist
OC019372
PA
Other
Enumeration date
08/03/2023
Last updated
09/18/2023
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