Individual
ANNE HAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
41 OLD SOLOMONS ISLAND RD, SUITE 101, ANNAPOLIS, MD 21401-3853
(410) 647-7326
(410) 774-5175
Mailing address
116 AMESBURY COURT, SEVERNA PARK, MD 21146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16024
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134652
PTAN
MD
01
—
134653ZA8X
GROUP MEMBER PROVIDER #
MD
01
—
ZA8X
MEDICARE SUFFIX
—
Enumeration date
04/20/2007
Last updated
08/04/2011
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