Individual
LINDA MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10462
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112003
ANTHEM ID
IN
05
—
100366720
—
IN
Enumeration date
04/05/2006
Last updated
02/02/2015
Update your record
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