Individual
STEPHANIE NICOLE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
2427 MEDWAY DR, RALEIGH, NC 27608-1612
(919) 539-7665
Mailing address
2427 MEDWAY DR, RALEIGH, NC 27608-1612
(919) 539-7665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
63-015621
NY
225X00000X
Occupational Therapist
Primary
7279
NC
Other
Enumeration date
03/04/2009
Last updated
08/18/2015
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