SearchPennsylvania224ZL0004X

Shane Hall, COTA

NPI 1205429073 · on the registry since 2021 · sole proprietor

Practice

Address
318 S Orange St
Media, PA 19063
Phone
(610) 566-1400
Clinicians at this address
8

Registry record

Primary taxonomy
224ZL0004X
224ZL0004X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania