Individual
KARA A HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 S HAM LN, LODI, CA 95242-3532
(209) 368-7433
Mailing address
1017 ELEANOR LN, MANTECA, CA 95337-9644
(209) 825-5956
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT296467
CA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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