NPI 1003351362

Tara Hall, ATC

Practitioner Athletic Trainer San Diego, CA

Practice location

Address: 5555 del Mar Heights Rd, San Diego, CA 92130-1368
Phone: (858) 523-4000
Fax: (858) 523-4057

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 050602043 (CA)

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Registry record

NPI: 1003351362
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Dec 2016
Record last updated: 22 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.