Doctor Name: | MR. TOM A HALL |
NPI Number: | 1063544914 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1267 |
Business Practice Address: | 1220 Jefferson St Laurel, MS - 394404355 |
Business Phone Number: | 6013990534 |
Business Fax Number: | |
Mailing Address: | 9 Sycamore Cir, PETAL |
State: | MS |
Postal Code: | 394659467 |
Phone Number: | 6015832894 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |