Individual
AMANDA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT, PCS
Contact information
Practice address
314 CARROLL ST NW, APT 210, WASHINGTON, DC 20012-2020
(202) 641-5215
Mailing address
314 CARROLL ST NW, APT 210, WASHINGTON, DC 20012-2020
(202) 641-5215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06713
OR
2251P0200X
Pediatric Physical Therapist
23620
MD
2251P0200X
Pediatric Physical Therapist
Primary
PT870370
DC
Other
Enumeration date
11/30/2006
Last updated
04/19/2017
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