Individual
JESSICA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
305 MACK BAYOU RD # 100, SANTA ROSA BEACH, FL 32459-7199
(850) 213-4595
Mailing address
28928 COUNTY ROAD 72, OPP, AL 36467-5590
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21679
FL
Other
Enumeration date
03/09/2021
Last updated
03/10/2021
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