Individual
MRS. REBECCA ANN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
102 GUYAN DRIVE, MACARTHUR, WV 25873
(304) 573-9817
Mailing address
PO BOX 389, BOLT, WV 25817-0389
(304) 573-9817
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
2001-0739
WV
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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