Individual
CHRISTOPHER T HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
314 E 1ST ST, EAST SYRACUSE, NY 13057-2927
(315) 443-9884
(315) 410-5554
Mailing address
6319 FLY RD, SUITE 3, EAST SYRACUSE, NY 13057-9357
(315) 410-6200
(315) 451-2095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA0171
MCR GROUP
NY
01
—
AA0172
MCR GROUP
NY
Enumeration date
07/23/2010
Last updated
07/28/2014
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