Individual
HEIDI LYNN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
540 E. HWY 29, BERTRAM, TX 78605
(512) 355-2116
Mailing address
1702 JUNIPER RIDGE LOOP, CEDAR PARK, TX 78613-1447
(512) 632-7335
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208756
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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