Individual
ANDREA MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13000 SW 92ND AVE, APT B210, MIAMI, FL 33176-8704
(305) 606-1023
Mailing address
13000 SW 92ND AVE, APT B210, MIAMI, FL 33176-8704
(305) 606-1023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA23299
FL
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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