Individual
MISS HEIDI HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1234 EVANS RD, 917, SAN ANTONIO, TX 78258-6984
(210) 331-1831
Mailing address
1234 EVANS RD, 917, SAN ANTONIO, TX 78258-6984
(210) 331-1831
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2091200
TX
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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