Individual
MADISON NICOLE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7812 EDINGER AVE STE 400, HUNTINGTON BEACH, CA 92647-3727
(714) 916-0641
Mailing address
1077 RANCHITO VIS, ALPINE, CA 91901-2965
(619) 905-8038
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
27841
CA
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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