Individual
JESSICA M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4 KELLOGG RD, ESSEX JUNCTION, VT 05452-2815
(802) 578-1544
Mailing address
13 BOBOLINK CIR, ESSEX JUNCTION, VT 05452-2233
(802) 578-1544
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000072
VT
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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