Individual
MONICA DIANE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3330 E LOUISE DR STE 400, MERIDIAN, ID 83642-5123
(208) 381-2138
Mailing address
6901 LEISURE LN, NAMPA, ID 83687-8727
(208) 989-0425
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-2864
ID
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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