Individual
ROBERT HAVILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
9417 S OCEAN DR, APT. 38, JENSEN BEACH, FL 34957-2371
(772) 708-4385
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 14932
FL
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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