| NPI | 1144413642 |
|---|---|
| Former Name | ALICE VICTORIA HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 8204) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 7649) |
| 225100000X Physical Therapist (Licence: WA 8019) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |