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Individual

MR. RUSSELL LANCE HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS OTR/L

Contact information

Practice address
955 WATER ST, BATESVILLE, AR 72501-3455
(870) 612-1716
(870) 612-1718
Mailing address
340 MORRIS AVE, BATESVILLE, AR 72501-8142
(870) 613-2668
(870) 612-1718

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2404
AR

Other

Enumeration date
05/03/2011
Last updated
05/03/2011
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