Individual
SANDRA JEAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
700 WAVERLY RD, DAVENPORT, IA 52804-4317
(563) 333-2780
(563) 333-2836
Mailing address
2634 GLENN ST, BETTENDORF, IA 52722-3824
(563) 333-2780
(563) 333-2836
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00225
IA
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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