Most Relevant Information
Provider Data
| NPI Number: | 1003487950 |
| Provider Name: | HENRY STEWARD HALTIWANGER DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 10673 |
Most Important Dates
| Enumeration Date: | 07/01/2021 |
| Last Updated: | 07/01/2021 |
Provider Practice Location
2817 REILLY ST
FORT BRAGG
NC
283107300
Practice Location Phone/Fax
| Phone: | 9109078922 |
| Fax: | 9109076069 |
Provider Mailing Location
2817 REILLY ST
FORT BRAGG
NC
283107300
Provider Mailing Phone/Fax
| Phone: | 9109078922 |
| Fax: | 9109076069 |