Individual
MISS GABRIELLE IONA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
227 W 22ND ST, ERIE, PA 16502-2614
(814) 878-2600
Mailing address
14360 CHURCH STREET, WATTSBURG, PA 16442-0214
(814) 739-2875
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE008814
PA
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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