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Individual

ANGELA M HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
3301 BERRYWOOD DR, SUITE 204, COLUMBIA, MO 65201-6517
(573) 449-8771
(573) 449-6563
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
01720
IA
225XH1200X
Hand Occupational Therapist
Primary
004365
MO

Other

Enumeration date
11/09/2006
Last updated
08/26/2019
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