Individual
DAVID THALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
90 MERRITT PL, NEW HARTFORD, NY 13413-2034
(315) 732-6911
Mailing address
11226 DAVIS RD, WEST WINFIELD, NY 13491-4300
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
033755
NY
Other
Enumeration date
06/21/2011
Last updated
09/24/2013
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