Individual
MS. DIANE MARIE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
VA MEDICAL CENTER, 650 E. INDIAN SCHOOL RD., PHOENIX, AZ 85012-1892
(602) 277-5551
Mailing address
1523 S MONTEREY ST, GILBERT, AZ 85233-8441
(480) 855-0740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0020
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020
STATE OT LICENSE
SD
Enumeration date
07/10/2006
Last updated
07/08/2007
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