Individual
TRACI ANN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
1710 KINGSWOOD DR, LANSING, MI 48912-5140
(517) 749-4448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001999
MI
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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