Individual
KALA C HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3830 BLUE RIDGE RD, RALEIGH, NC 27612-4319
(919) 424-4617
Mailing address
4108 GRAND MANOR CT APT 105, RALEIGH, NC 27612-7838
(704) 682-4605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4506
NC
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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