Individual
KELLY TERESA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
495 SCHUTT ROAD EXT STE 9, MIDDLETOWN, NY 10940-3397
(845) 342-5170
Mailing address
20 MEADOW LAKE DR # 20B, MIDDLETOWN, NY 10941-3212
(845) 604-1943
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011261
NY
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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