Individual
DOUGLAS EUGENE HALADAY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT,MHS,DPT,OCS,CSCS
Contact information
Practice address
102 ROUTE 611, SUITE 3, BARTONSVILLE COMMONS, BARTONSVILLE, PA 18321-9439
(570) 619-7370
Mailing address
1850 BECKS CROSSING RD, MADISON TOWNSHIP, PA 18444-7526
(570) 842-3252
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT008437L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616696
HIGHMARK BLUE SHIELD
PA
01
—
818201
FIRST PRIORITY HEALTH
PA
Enumeration date
04/17/2006
Last updated
07/08/2007
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