Individual
COREY ANDREW HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1600 W 41ST ST STE 300, BALTIMORE, MD 21211-1504
(410) 357-1529
Mailing address
1636 ABERDEEN RD, TOWSON, MD 21286-8124
(443) 564-6085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25763
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025024
OPTUM
MD
05
—
1024591 00
—
MD
01
—
310275
JHHC
MD
01
—
462714ZAVL
MEDICARE PTAN
MD
01
—
9561034
CIGNA
MD
01
—
T208 0127
CAREFIRST
MD
Enumeration date
11/17/2015
Last updated
01/09/2024
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