Individual
JUSTIN D HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1525 E 6TH ST STE B, WESLACO, TX 78596-4667
(956) 969-9400
(956) 969-9411
Mailing address
1738 N 77 SUNSHINESTRIP, HARLINGEN, TX 78550-4255
(956) 744-0096
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262858905
—
TX
Enumeration date
08/08/2019
Last updated
08/08/2019
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