Individual
KATYLYNN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 40TH AVE, VERO BEACH, FL 32960-2467
(772) 567-0061
Mailing address
2645 58TH CT, VERO BEACH, FL 32966-6436
(772) 713-7237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA25088
FLORIDA MEDICAL LICENSE
FL
Enumeration date
07/16/2015
Last updated
07/16/2015
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