Individual
JASON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
129 FAIRFIELD CT, GEORGETOWN, TX 78633-4655
(979) 220-6516
Mailing address
129 FAIRFIELD CT, GEORGETOWN, TX 78633-4655
(979) 220-6516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107860
TX
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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