Individual
RYAN DAVID HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2446 NW 1ST ST, OKLAHOMA CITY, OK 73107-6926
(405) 464-3660
Mailing address
4115 OLD CHISMVILLE RD, GREENWOOD, AR 72936-6927
(405) 464-3660
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1715
OK
Other
Enumeration date
07/20/2011
Last updated
05/14/2021
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