| NPI | 1356408744 |
|---|---|
| Former Name | JAMIE MICHELLE HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9446) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 22725) |
| 225100000X Physical Therapist (Licence: DC 870574) | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-02-19 |