Individual
GREGORY Q HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
34 E MADISON AVE, MCALESTER, OK 74501-4636
(405) 488-9914
Mailing address
34 E MADISON AVE, MCALESTER, OK 74501-4636
(405) 488-9914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1703
OK
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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