Individual
MRS. LAUREN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
118 GLASS ST, JACKSON, TN 38301-4625
(731) 424-2951
Mailing address
3024 OLD MEDINA RD, JACKSON, TN 38305-9465
(256) 412-4302
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2316
TN
Other
Enumeration date
09/27/2015
Last updated
07/16/2019
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