Individual
MRS. ANITA JO HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
313 WEST MAIN STREET, FORDSVILLE, KY 42343
(270) 276-3603
Mailing address
13269 STATE ROUTE 69 N, FORDSVILLE, KY 42343-9323
(270) 276-5510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00331
KY
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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