Individual
EMILY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8570 SAINT LUKES DR, BEARDSTOWN, IL 62618-9200
(217) 370-7347
Mailing address
12147 PHELPS DITCH RD, BEARDSTOWN, IL 62618-7714
(217) 370-7347
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.002437
IL
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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