Individual
SHAWNDASHA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 MAYNARD AVE, JACKSON, MI 49202-2939
(347) 861-8169
Mailing address
914 MAYNARD AVE, JACKSON, MI 49202-2939
(347) 861-8169
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202009858
MI
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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