Individual
MATTHEW HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10212 RAVENSCOURT DR APT 207, SPOTSYLVANIA, VA 22553-4455
(434) 390-9511
Mailing address
10212 RAVENSCOURT DR APT 207, SPOTSYLVANIA, VA 22553-4455
(434) 390-9511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006580
VA
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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