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Individual

MR. BRENTLEY W HALL

Active
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Individual

MR. BRENTLEY W HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1514
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51533861
BCBS OF ALABAMA
AL
Enumeration date
05/31/2006
Last updated
08/18/2025
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