Individual
MRS. KATHRYN J HALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11391
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215269535
—
WI
Enumeration date
02/11/2010
Last updated
10/20/2012
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