Provider Demographics
NPI:1073668760
Name:HALL, TERESA J (OTR)
Entity type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:J
Last Name:HALL
Suffix:
Gender:F
Credentials:OTR
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Other - First Name:
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Mailing Address - Street 1:201 PENNSYLVANIA PKWY
Mailing Address - Street 2:STE 200
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46280-1393
Mailing Address - Country:US
Mailing Address - Phone:317-805-5500
Mailing Address - Fax:317-805-5501
Practice Address - Street 1:12772 HAMILTON CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5422
Practice Address - Country:US
Practice Address - Phone:317-814-1000
Practice Address - Fax:317-814-1015
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2016-04-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN31000750A224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant