Provider Demographics
NPI:1285872648
Name:HALL, PATRICIA (RRT)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7509 SW 128TH TER
Mailing Address - Street 2:
Mailing Address - City:ARCHER
Mailing Address - State:FL
Mailing Address - Zip Code:32618-2923
Mailing Address - Country:US
Mailing Address - Phone:352-495-8050
Mailing Address - Fax:
Practice Address - Street 1:7509 SW 128TH TER
Practice Address - Street 2:
Practice Address - City:ARCHER
Practice Address - State:FL
Practice Address - Zip Code:32618-2923
Practice Address - Country:US
Practice Address - Phone:352-495-8050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRT 826227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered