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MR. PHILLIP MCKENZIE HALLIDAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
301 LAKE ST, BOX 370, DALLAS, PA 18612-1008
(570) 675-9588
Mailing address
607 COUNTRY CLUB APTS, DALLAS, PA 18612-9191
(570) 956-2703

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE008009
PA

Other

Enumeration date
07/01/2009
Last updated
07/01/2009
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