Individual
MS. BETH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 NEW YORK DR, VANDALIA, IL 62471-1044
(618) 283-5545
(618) 283-2951
Mailing address
15 APEX DR, HIGHLAND, IL 62249-1282
(618) 651-0444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070010235
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376012895001
—
IL
Enumeration date
06/18/2007
Last updated
08/20/2018
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