Individual
ALISON BAILY HALLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
771 MANCILL RD, WAYNE, PA 19087-2004
(610) 293-4030
Mailing address
771 MANCILL RD, WAYNE, PA 19087-2004
(610) 293-4030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005476L
PA
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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