Individual
TARA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5660 LAKE FORREST DR, ATLANTA, GA 30342-4635
(404) 500-9185
Mailing address
5660 LAKE FORREST DR, ATLANTA, GA 30342-4635
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT006867
GA
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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