Individual
MR. BRYAN JOSEPH O'HALLORAN
Active
Individual
MR. BRYAN JOSEPH O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T. SCS, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-002907-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0660220000
KEYSTONE PIN
PA
01
—
0959942
AETNA HMO PROVIDER#
PA
01
—
38720
BC/BS PIN
PA
01
—
5245562
AETNA TRADITIONAL PROV. #
PA
01
—
650015206
MEDICARE RAILROAD PIN
PA
01
—
689220
UNITED HEALTHCARE PROV. #
PA
Enumeration date
04/12/2006
Last updated
06/30/2010
Update your record
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