Individual
ISABELLE MARIE HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1465 STATE HIGHWAY 31, SUMMIT, NJ 08801-3118
(908) 328-3300
Mailing address
57 ROUTE 46 STE 108, HACKETTSTOWN, NJ 07840-2695
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01976200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01976200
STATE LICENSE
NJ
Enumeration date
02/26/2021
Last updated
02/26/2021
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