Individual
MR. MARK ADAM HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., OMT, ATC, CSCS
Contact information
Practice address
82 PALOMINO LN STE 501, BEDFORD, NH 03110-6448
(603) 627-6381
Mailing address
82 PALOMINO LN STE 501, BEDFORD, NH 03110-6448
(603) 627-6381
(603) 627-6021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2116
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0653546
CIGNA
NH
01
—
08Y008490NH01
ANTHEM
NH
01
—
1101386
AETNA
NH
05
—
30393905
—
NH
01
—
5656604
FIRST HEALTH, HCVM
NH
01
—
9406774
PHCS
NH
01
—
AA37427
HARVARD PILGRIM
NH
Enumeration date
01/09/2007
Last updated
03/17/2018
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