Individual
HENRIETTA HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1724 MARTIN DR APT 6205, WEATHERFORD, TX 76086-6291
(469) 850-9469
Mailing address
1715 MARTIN DR # 6205, WEATHERFORD, TX 76086-6738
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2096946
TX
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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