Individual
BREANNA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 N BROADWAY ST, POTEAU, OK 74953-2009
(918) 962-0198
Mailing address
109994 S 4670 RD, GANS, OK 74936-5049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF906
OK
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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