Individual
TRINA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
591 PENDLETON ST, TAHLEQUAH, OK 74464-2271
(918) 458-4130
Mailing address
915 MIKE AVE, TAHLEQUAH, OK 74464-7035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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