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Individual

TEANNA HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
5130 N US HIGHWAY 89, FLAGSTAFF, AZ 86004-2837
(928) 773-2054
(928) 773-2286
Mailing address
125 E ELM AVE, STE. 103, FLAGSTAFF, AZ 86001-3258
(928) 779-1679
(928) 779-2822

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
3542
AZ
225X00000X
Occupational Therapist
Primary
3542
AZ

Other

Enumeration date
11/28/2007
Last updated
09/06/2021
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