Individual
JAMIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10135 STATE ROAD C, MOKANE, MO 65059-1213
(573) 676-5662
Mailing address
10135 STATE ROAD C, MOKANE, MO 65059-1213
(573) 676-5662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111431
MO
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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