person
Dr. Mitchell Maurice Hall, PT,DPT
Orthopedic Physical Therapist in Fort Wayne, Indiana
NPI 1295213114

Mitchell Maurice Hall is a Orthopedic Physical Therapist based in Fort Wayne, IN and is specialized in Orthopedic. Mitchell Maurice Hall practices in Fort Wayne, IN and has the professional credentials of PT,DPT. The NPI Number for Mitchell Maurice Hall is 1295213114 and holds a License No. 05013055A (Indiana).

The current practice location address for Mitchell Maurice Hall is 12722 Tonkel Rd Ste 102, Fort Wayne, IN and can be reached out via phone at 260-739-0300 and via fax at 260-818-2299. You can also correspond with Mitchell Maurice Hall through the mailing address at 12722 TONKEL RD STE 102, FORT WAYNE, IN - 46845-8201 (mailing address contact number: 260-739-0300).

Location: 12722 Tonkel Rd Ste 102, Fort Wayne, IN, 46845-8201
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Provider Profile Details
NPI Number
1295213114
Provider Name
Mitchell Maurice Hall
Credential
PT,DPT
Provider Entity Type
Individual
Gender
Male
Address
12722 Tonkel Rd Ste 102, Fort Wayne, IN, 46845-8201
Phone Number
260-739-0300
Fax Number
260-818-2299
Provider Enumeration Date
08/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300017111 05 IN
05013055A 01 IN LICENSE
institution
Provider Business Practice Location Address Details
Address
12722 Tonkel Rd Ste 102
City
State
Zip
46845-8201
Phone Number
260-739-0300
Fax Number
260-818-2299
person
Provider Business Mailing Address Details
Address
12722 Tonkel Rd Ste 102
City
State
Zip
46845-8201
Phone Number
260-739-0300
Fax Number
260-818-2299
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
05013055A (Indiana)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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