Individual
REBECCA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10570 BERGTOLD RD, CLARENCE, NY 14031-2105
(716) 759-6985
Mailing address
1168 BECK RD, ATTICA, NY 14011-9675
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
NY
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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