Individual
BRIAN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6474 RIDGE RD, PORT RICHEY, FL 34668-6748
(727) 846-0547
(727) 847-0755
Mailing address
3511 DURRANCE ST, NEW PORT RICHEY, FL 34655-2181
(727) 798-7306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18217
FL
2251X0800X
Orthopedic Physical Therapist
PT18217
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18217
LICENSE #
FL
Enumeration date
08/25/2006
Last updated
08/29/2024
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