Individual
AUDRA ANISSA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
108 TURNER LANE, MIDDLESBORO, KY 40965
(606) 248-0925
Mailing address
108 TURNER LN, MIDDLESBORO, KY 40965-8676
(502) 208-2179
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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