Hall, Beverly

Hall, Beverly is an individual health care provider with primary practice located at 901 18Th St E , Tifton GA 31794-3648. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hall, Beverly can be contacted via phone (229) 382-7120.

Contact Information

Primary practice address
901 18Th St E Tifton GA 31794-3648
Phone: (229) 382-7120
Fax: (229) 353-7722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTA001329 Georgia

Profile Details

NPI number 1730503962
LBN Legal business name Hall, Beverly
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2014
Last updated Feb 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730503962 NPPES
Georgia Other OTA001329 LICENSE

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