Healthcare Provider Details

I. General information

NPI: 1003915588
Provider Name (Legal Business Name): DAVID EMERY HALL OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1660 S COLUMBIAN WAY
SEATTLE WA
98108-1532
US

IV. Provider business mailing address

12941 SE 159 ST
RENTON WA
98058-4738
US

V. Phone/Fax

Practice location:
  • Phone: 206-277-1593
  • Fax: 206-768-5271
Mailing address:
  • Phone: 206-277-1593
  • Fax: 206-768-5271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1300X
TaxonomyHuman Factors Occupational Therapist
License NumberOT00002447
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: