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Individual

GRACE HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1201 BLEACHERY BLVD, SUITE # 201, ASHEVILLE, NC 28803-8314
(828) 277-5763
(828) 277-5764
Mailing address
57 GREENWELLS GLORY DR, BILTMORE LAKE, NC 28715-8901
(828) 665-4849

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4693
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10602
BCBS
NC
05
7232360
NC
Enumeration date
08/12/2005
Last updated
03/15/2011
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