Individual
CHRISTINE DEBRA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8320 CITY CENTRE DR, SUITE G., WOODBURY, MN 55125-3382
(651) 738-9888
(651) 738-9889
Mailing address
15861 FLUTE WAY, APPLE VALLEY, MN 55124-6011
(952) 953-9568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
255808
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255808
LICENSE NUMBER
MN
Enumeration date
07/30/2009
Last updated
06/16/2010
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