Individual
MRS. LEE ANN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 E 4TH ST, COOKEVILLE, TN 38501-2517
(931) 265-3996
Mailing address
115 E 4TH ST, COOKEVILLE, TN 38501-2517
(931) 265-3996
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000000552
TN
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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