Doctor Name: | JOHN W O'HALLORAN |
NPI Number: | 1902849359 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPT |
License Number: | 2573 |
Business Practice Address: | 6209 Moores Creek Dr Summerfield, NC - 273588007 |
Business Phone Number: | 3365015351 |
Business Fax Number: | |
Mailing Address: | 6209 Moores Creek Dr, SUMMERFIELD |
State: | NC |
Postal Code: | 273588007 |
Phone Number: | 3365015351 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 09/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |