Individual
JILL HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3420 WAKE FOREST RD, DURHAM, NC 27703-3522
(919) 596-9464
Mailing address
3420 WAKE FOREST RD, DURHAM, NC 27703-3522
(919) 596-9464
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2908
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A2908
PTA LICENSE
NC
Enumeration date
01/27/2015
Last updated
04/27/2021
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