Provider Demographics
NPI:1174623029
Name:HALL, DINAH (PT)
Entity type:Individual
Prefix:
First Name:DINAH
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DINAH
Other - Middle Name:
Other - Last Name:PIGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2310 MALL ROAD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-2891
Mailing Address - Country:US
Mailing Address - Phone:256-764-4242
Mailing Address - Fax:256-764-4343
Practice Address - Street 1:2310 MALL ROAD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-2891
Practice Address - Country:US
Practice Address - Phone:256-764-4242
Practice Address - Fax:256-764-4343
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH5262225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN446631Medicare ID - Type UnspecifiedGROUP