Individual
RENITA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT-ASSISTANT
Contact information
Practice address
6301 GASTON AVE STE 750, DALLAS, TX 75214-3922
(214) 295-5374
Mailing address
7305 MONTEGO DR, ROWLETT, TX 75089-3510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2018255
TX
Other
Enumeration date
12/25/2017
Last updated
12/25/2017
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