Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251N0400X | Physical Therapist - Neurology | 40QA01224700 | NJ |
Y | 2251X0800X | Physical Therapist - Orthopedic | 40QA01224700 | NJ |
NPI | 1720228646 |
---|---|
Provider Name | Mrs. Nordia Ann Marie Hall |
First Address | Raritan, NJ 08869-1444 |
Second Address | Raritan, NJ 08869-1444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2009 |
Last Update Date | 10/06/2009 |