Individual
BEVERLY J HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3200 G ST, SOUTH SIOUX CITY, NE 68776-3339
(615) 896-6400
Mailing address
3200 VIKING DR, SIOUX CITY, IA 51104-1840
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
639
NE
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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