Individual
MR. TOM A HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 399-0534
Mailing address
9 SYCAMORE CIR, PETAL, MS 39465-9467
(601) 583-2894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1267
MS
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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