Most Relevant Information
Provider Data
| NPI Number: | 1003592163 |
| Provider Name: | HUGH ADAM HALTIWANGER |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2023 |
| Last Updated: | 11/05/2024 |
Provider Practice Location
1909 N HIGHWAY 17 STE Q
MT PLEASANT
SC
294647460
Practice Location Phone/Fax
| Phone: | 8434169026 |
| Fax: |
Provider Mailing Location
790 REMINGTON BLVD
BOLINGBROOK
IL
604404909
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |