# COREY HALL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Outlast Health and Performance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417570532
- **Authorized official:** COREY ANDREW HALL PT, DPT (OWNER)
- **Authorized official phone:** (443) 564-6085

## Contact information

- **Practice address:** 1600 W 41ST ST STE 300, BALTIMORE, MD 21211-1504
- **Practice address phone:** (410) 357-1529
- **Mailing address:** 1636 ABERDEEN RD, TOWSON, MD 21286-8124
- **Mailing address phone:** (443) 564-6085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2020
- **Last updated:** 12/30/2023
