Individual
MISS JACQUELINE MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6116 KIRKWOOD CT, LOUISVILLE, KY 40229-2906
(502) 807-9000
Mailing address
6116 KIRKWOOD CT, LOUISVILLE, KY 40229-2906
(502) 807-9000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
272115
KY
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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