Hall, Dylan Charles

Hall, Dylan Charles is an individual health care provider with primary practice located at 69 Pearson Blvd , Gardner MA 01440-3368. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Hall, Dylan Charles can be contacted via phone (978) 630-6900.

Contact Information

Primary practice address
69 Pearson Blvd Gardner MA 01440-3368
Phone: (978) 630-6900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 9359 Massachusetts

Profile Details

NPI number 1043835127
LBN Legal business name Hall, Dylan Charles
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2020
Last updated Jun 14th, 2020 - about 5 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 1043835127 NPPES
Massachusetts Other 9359 COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE

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