Individual
MISS JENNIFER RENEE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8999 INDEPENDENCE WAY, ALAMOSA, CO 81101-9418
(719) 589-3812
Mailing address
613 4TH ST APT B, ALAMOSA, CO 81101-2481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0014884
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL.0014884
COLORADO DIVISION OF PROFESSIONALS AND OCCUPATIONS
CO
Enumeration date
08/14/2017
Last updated
08/14/2017
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