Individual
MR. GAMAL KWAME HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.T.A
Contact information
Practice address
10347 LION CHASE, SAN ANTONIO, TX 78251-4075
(210) 455-8770
Mailing address
10347 LION CHASE, SAN ANTONIO, TX 78251-4075
(210) 455-8770
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
204327
TX
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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