Individual
DIANE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
29 LOIS LN, BILLERICA, MA 01821-3166
(978) 667-3772
Mailing address
29 LOIS LN, BILLERICA, MA 01821-3166
(978) 667-3772
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5778
MA
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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