Individual
LORI HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6240 N CHATHAM AVE, KANSAS CITY, MO 64151-2472
(816) 587-6234
Mailing address
18 SANDI CIR, DEARBORN, MO 64439-9761
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
117535
MO
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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