Individual
MR. LARRY GENE HALYE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1515 W 23RD ST, HAZLE TOWNSHIP, PA 18202-1647
(570) 459-3221
Mailing address
200 MOORES HILL RD, BERWICK, PA 18603-6219
(570) 578-5980
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000437
PA
Other
Enumeration date
09/12/2017
Last updated
08/03/2020
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