Basic Information
| Provider Information | |||||||||
| NPI: | 1588805709 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HALL | ||||||||
| FirstName: | DONA | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | MS.OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 305 FERNWOOD DR | ||||||||
| Address2: | |||||||||
| City: | BEAR CREEK TOWNSHIP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 187028400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5704310477 | ||||||||
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| Practice Location | |||||||||
| Address1: | 204 EAGLE VALLEY MALL | ||||||||
| Address2: | |||||||||
| City: | EAST STROUDSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 183011315 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5704241706 | ||||||||
| FaxNumber: | 5704246711 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/18/2009 | ||||||||
| LastUpdateDate: | 03/18/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OC009223 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.