Individual
DANSON S. HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
421 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 234-7928
(208) 234-8698
Mailing address
3786 W BROADWAY ST, IDAHO FALLS, ID 83402-5508
(208) 681-9642
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3301
ID
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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