Individual
MS. JULIE DONETTE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1215 E ORANGE ST, LAKELAND, FL 33801-5762
(863) 802-3800
(863) 802-0480
Mailing address
4922 IRONWOOD TRL, BARTOW, FL 33830-8946
(863) 510-5859
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1812
TN
Other
Enumeration date
09/15/2009
Last updated
07/08/2010
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