Individual provider · NPI-1

Shalonda Hall, OT

Occupational Therapist · Merrillville, IN

NPI number1801550660

StatusActive

Last updated in NPPESOct 27, 2021

Details

NPI: 1801550660
Entity type: Individual (NPI-1)
Name: Shalonda Hall
Credential: OT
Sex: Female
Sole proprietor: No
Enumeration date: Oct 27, 2021
Certification date: Oct 27, 2021
Last updated: Oct 27, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225X00000X	Occupational Therapist	31004311A	IN	Yes
225X00000X	Occupational Therapist	056.008432	IL

Practice location

8690 Broadway Ste A
Merrillville, IN 46410-7034

Phone 219-750-9600 · Fax 219-370-0096

Mailing address

8690 Broadway Ste A
Merrillville, IN 46410-7034

Phone 219-750-9600 · Fax 219-370-0096

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