Lyman Roscoe Hall III LPTA

NPI 1184918617 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1184918617
Gender Male
Enumeration Date 06/01/2011
Last Updated 06/01/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
576 JEFFERSON AVE
FORT EUSTIS VA, 23604-1373, US
Phone (757) 314-7666
Fax
Business Location
576 JEFFERSON AVE
FORT EUSTIS VA, 23604-1373, US
Phone (757) 314-7666
Fax
Toxanomy
Taxonomy Code 225200000X
License State Virginia
License Number 2306603028
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According to our database, Mr. Lyman Roscoe Hall III LPTA NPI is 1184918617, taxonomy code is 225200000X and license number is 2306603028, license state is located at Virginia. Lyman Roscoe Hall III LPTA physically located at 576 Jefferson Ave, Fort Eustis VA, 23604-1373. NPI Number Lyman Roscoe Hall III LPTA has the Individual type.

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1184918617 NPI number is provided on an as is basis without warranty of any kind. 1184918617 is maintained by the National Plan & Provider Enumeration System. The contents of Lyman Roscoe Hall III LPTA are for informational purposes only.