Individual
DERWIN DEWAYNE HALL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1903 S CONGRESS AVE STE 100, BOYNTON BEACH, FL 33426-6553
(561) 432-0111
Mailing address
5598 WELLESLEY PARK DR APT 104, BOCA RATON, FL 33433-6761
(816) 924-9933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1328774
TX
225100000X
Physical Therapist
Primary
36673
FL
225100000X
Physical Therapist
CP001239T
MO
Other
Enumeration date
06/29/2020
Last updated
07/05/2024
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