Individual
KYLE HALAVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10 HIGH ST, WAKEFIELD, RI 02879-3176
(401) 783-8077
(401) 789-6029
Mailing address
10 HIGH ST, WAKEFIELD, RI 02879-3176
(401) 783-8077
(401) 789-6029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT02625
RI
Other
Enumeration date
09/03/2013
Last updated
07/23/2019
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