# ANNE HAILE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1053539601
- **Gender:** F
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 16024 | MD | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 08/04/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 134652 | PTAN | MD |
| 01 | — | 134653ZA8X | GROUP MEMBER PROVIDER \# | MD |
| 01 | — | ZA8X | MEDICARE SUFFIX | — |