| NPI | 1073808960 | 
|---|---|
| Former Name | EMILY MARIE HALL | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011116A) | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT26482) | 
| Enumeration Date | 2011-06-18 | 
| Last Update Date | 2014-10-02 |