Individual
OLIVIA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 E. 81ST ST., INDIANAPOLIS, IN 46240
(317) 701-0533
Mailing address
1731 E. 81ST ST., INDIANAPOLIS, IN 46240
(317) 701-0533
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103254846199
MDWISE
IN
Enumeration date
02/28/2023
Last updated
02/28/2023
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