NPI 1124459664

Charles Hall, CO

Practitioner Orthotist Milwaukee, WI

Practice location

Address: 2578 N Martin Luther King Dr, Milwaukee, WI 53212-2710
Phone: (414) 374-4256

Registered specialties (2)

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence CO4127 (WI)

Other Orthotist providers in Wisconsin →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

Registry record

NPI: 1124459664
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Dec 2013
Record last updated: 10 Dec 2013

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.