Individual
DR. BELISENA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 825-3696
Mailing address
504 SMITH RD, GOUVERNEUR, NY 13642-4333
(315) 955-5977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26998
MA
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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