Individual
SOMMER C HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10475 CENTURION PKWY N, SUITE 220, JACKSONVILLE, FL 32256-5003
(904) 634-0640
(904) 634-0203
Mailing address
6500 BOWDEN RD, SUITE 103, JACKSONVILLE, FL 32216-8070
(904) 634-0640
(904) 634-0203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070013911
IL
2251X0800X
Orthopedic Physical Therapist
Primary
PT27213
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00931617
MEDICARE RAILROAD
IL
Enumeration date
09/29/2006
Last updated
03/25/2015
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