Individual
MS. MARA LEE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
34 GRACEY ST, NHC, SPARTA, TN 38583
(931) 836-2211
(931) 836-2230
Mailing address
2007 WICHITA DR, CROSSVILEE, TN 38572
(931) 788-6132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
833
TN
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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