Individual
MRS. AMANDA DAWN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2401 W MAIN ST, MARION, IL 62959-1188
(618) 997-5311
Mailing address
1205 BUFFALO GAP RD, COBDEN, IL 62920-3574
(618) 697-0635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005924
IL
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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