Most Relevant Information
Provider Data
NPI Number: | 1003052564 |
Provider Name: | KELSEY JAMES HALL |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: | 112078 |
Most Important Dates
Enumeration Date: | 01/05/2009 |
Last Updated: | 08/10/2022 |
Provider Practice Location
2118 SANDY LN
LAUREL
MS
394439087
Practice Location Phone/Fax
Phone: | 6013422923 |
Fax: |
Provider Mailing Location
530 SHARON MOSS RD
LAUREL
MS
394430959
Provider Mailing Phone/Fax
Phone: | 6014985578 |
Fax: |