Individual
MARY HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 FOX DEN CT, LOUISVILLE, KY 40241-1008
(502) 439-4413
Mailing address
4720 FOX DEN CT, LOUISVILLE, KY 40241-1008
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/25/2015
Last updated
10/25/2015
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