NPI 1184918617

Lyman Roscoe Hall, LPTA

Practitioner Physical Therapy Assistant Fort Eustis, VA

Practice location

Address: 576 Jefferson Ave, Fort Eustis, VA 23604-1373
Phone: (757) 314-7666

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306603028 (VA)

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Registry record

NPI: 1184918617
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2011
Record last updated: 1 Jun 2011

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.