Individual
SHALONDA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8690 BROADWAY STE A, MERRILLVILLE, IN 46410-7034
(219) 750-9600
(219) 370-0096
Mailing address
8690 BROADWAY STE A, MERRILLVILLE, IN 46410-7034
(219) 750-9600
(219) 370-0096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.008432
IL
225X00000X
Occupational Therapist
Primary
31004311A
IN
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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