Individual
NICOLE A HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
170 CENTRE ST, MILTON, MA 02186-3338
(617) 898-2162
Mailing address
170 CENTRE ST, MILTON, MA 02186-3338
(617) 898-2162
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2013
MA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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