Individual
MR. GREGORY ROGER HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
720 SYCAMORE ST, QUINCY, IL 62301-1639
(217) 228-2126
Mailing address
2040 CHESTNUT ST, QUINCY, IL 62301-2213
(217) 228-2126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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