Individual
MR. LYMAN ROSCOE HALL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7666
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7666
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603028
VA
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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