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NPI Code Detail

MEDICARE: TARA HALL

MEDICARE: TARA HALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational TherapistOT006867GA

General Provider Information

NPI Number : 1568255511
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA HALL
Provider Business Mailing Address
First Line : 5660 LAKE FORREST DR
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5660 LAKE FORREST DR
Second Line :
City : ATLANTA
State : GA
Zip : 30342-4635
Country : US
Telephone Number : 404-500-9185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2025
Last Update Date : 05/23/2025

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Directions to “ TARA HALL ” Practice Location

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