Individual
MRS. JENNIFER LYNN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
21585 PEABODY ST, LEONARDTOWN, MD 20650-2955
(301) 475-8000
(301) 997-1461
Mailing address
214 PAWNEE LN, LUSBY, MD 20657-2548
(410) 326-6517
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01574
MD
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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