STACEY M HALL

LOUISVILLE, KY
NPI1154834463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KY  174700)
Additional Taxonomies225XP0200X Occupational Therapist Pediatrics
(Licence: KY  174700)
Enumeration Date2017-11-08
Last Update Date2022-12-12
Business Address
STACEY M HALL
11840 COMMONWEALTH DR
LOUISVILLE, KY 40299-2309
Phone number: 502-633-1007
Mailing Address
STACEY M HALL
90 HOWARD DR
SHELBYVILLE, KY 40065-8138
Phone number: 502-633-1007