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Individual

DYLAN CHARLES HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
2033 MAIN ST, ATHOL, MA 01331-3535
(978) 249-1201
Mailing address
99 NE FITZWILLIAM RD, ROYALSTON, MA 01368-9576
(978) 895-7002

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27380
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9359
COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE
MA
Enumeration date
06/14/2020
Last updated
04/07/2025
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