| Kristen Hall, OT | |
|
600 Powder Mill Rd, Fallston, MD 21047-2420 | |
| (410) 598-7390 | |
| Not Available |
| Full Name | Kristen Hall |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 600 Powder Mill Rd, Fallston, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689156788 | NPI | - | NPPES |
| 753702601 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 07256 (Maryland) | Primary |
| Provider Name | Hall Way To Independence Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1366276511 PECOS PAC ID: 4385176494 Enrollment ID: O20241015000048 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Hall, OT 600 Powder Mill Rd, Fallston, MD 21047-2420 Ph: (410) 598-7390 | Kristen Hall, OT 600 Powder Mill Rd, Fallston, MD 21047-2420 Ph: (410) 598-7390 |
Hall Way To Independence Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 600 Powder Mill Rd, Fallston, MD 21047 Phone: 410-598-7390 | |
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