Individual
ELLEN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 GREENWAY LN, LEXINGTON, KY 40511-8617
(859) 317-3512
Mailing address
169 GREENWAY LN, LEXINGTON, KY 40511-8617
(859) 317-3512
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
273675
KY
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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