Individual
MRS. DEBRA DENNINGTON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z11138
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z11138
STATE LICENSE
LA
Enumeration date
03/20/2007
Last updated
07/08/2007
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