Individual
MR. BRENTLEY W HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3090 DAUPHIN SQ CONNECTOR, MOBILE, AL 36607-2500
(251) 300-6666
(251) 300-6665
Mailing address
3090 DAUPHIN SQ CONNECTOR, MOBILE, AL 36607-2500
(251) 300-6666
(251) 300-6665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1514
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51533861
BCBS OF ALABAMA
AL
Enumeration date
05/31/2006
Last updated
08/18/2025
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