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Individual

HALEY NICOLE PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DOCTORATE

Contact information

Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-2000
Mailing address
10097 ROUTE 35, MOUNT PLEASANT MILLS, PA 17853-8472
(570) 850-2319

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025457
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT025457
PA STATE BOARD
PA
Enumeration date
05/06/2019
Last updated
11/11/2022
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