Individual
EMILY ANNE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2805 E 10TH ST, UNIVERSITY GYMNASIUM, BLOOMINGTON, IN 47408-2619
(484) 894-5940
Mailing address
1150 S CLARIZZ BLVD APT 275, BLOOMINGTON, IN 47401-4297
(484) 894-5940
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36001710A
IN
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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