Individual
MR. OLIVER D F HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4 KELLOGG RD, ESSEX JUNCTION, VT 05452-2815
(802) 578-1544
Mailing address
13 BOBOLINK CIRCLE, ESSEX, VT 05452
(802) 879-0182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003506
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010209
—
VT
01
—
4942874
CIGNA
VT
01
—
59059
BCBS
VT
Enumeration date
08/09/2006
Last updated
07/08/2007
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