Individual
MRS. WENDY MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
TE012552
PA
225200000X
Physical Therapy Assistant
Primary
A1384
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TE012552
—
PA
Enumeration date
11/06/2006
Last updated
09/15/2020
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