Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 4175 | TN |
NPI | 1184999146 |
---|---|
Provider Name | Daniel Duncan Hall |
First Address | Nashville, TN 37211-7318 |
Second Address | Goodlettsville, TN 37072-7166 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2012 |
Last Update Date | 09/03/2012 |