Individual
BENITA WICKER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L, PT, DPT
Contact information
Practice address
1615 WADDELL CT, DURHAM, NC 27703-8332
(919) 323-1155
(919) 596-8322
Mailing address
1615 WADDELL CT, DURHAM, NC 27703-8332
(919) 323-1155
(919) 596-8322
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P11703
NC
225X00000X
Occupational Therapist
6020
NC
Other
Enumeration date
04/09/2008
Last updated
10/26/2019
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