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1457012189
KELLY TERESA HALL
MIDDLETOWN, NY
NPI
1457012189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 011261)
Enumeration Date
2022-01-05
Last Update Date
2022-01-05
Business Address
KELLY TERESA HALL
495 SCHUTT ROAD EXT STE 9
MIDDLETOWN, NY 10940-3397
Phone number: 845-342-5170
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Mailing Address
KELLY TERESA HALL
20 MEADOW LAKE DR # 20B
MIDDLETOWN, NY 10941-3212
Phone number: 845-604-1943
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