Individual
MR. DOUGLAS M HAVRILESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 HIGHLAND RD, BETHEL PARK, PA 15102-1806
(421) 831-6050
Mailing address
261 SUNSET BLVD, WASHINGTON, PA 15301-1260
(724) 222-8549
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE001786L
PA
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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