Individual
MRS. TEAH NICOLE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
425 DAYTON TOWERS DR APT 8F, DAYTON, OH 45410-1128
(706) 394-9356
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
66912
OH
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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