Organization
HALL PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA HALL MS OTR/L (OWNER)
(954) 439-0906
Entity
Organization
Contact information
Practice address
138 LAKESHORE CT, MCDONOUGH, GA 30252-8045
(954) 439-0906
Mailing address
138 LAKESHORE CT, MCDONOUGH, GA 30252-8045
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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