Individual
MICHELLE RENEE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1400 MARK DR, WAHOO, NE 68066-4023
(402) 443-5017
Mailing address
980 W 10TH ST, WAHOO, NE 68066-1105
(402) 443-5969
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
492
NE
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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