Individual
MS. KATHY MARIE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA,PTA
Contact information
Practice address
4060 OMER RD, DIVIDE, CO 80814-8801
(719) 250-0543
Mailing address
4060 OMER RD, DIVIDE, CO 80814-8801
(719) 250-0543
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A-0570
NM
Other
Enumeration date
06/20/2007
Last updated
04/23/2011
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