Individual
HALEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
758 BROADWAY, BANGOR, ME 04401
(207) 941-8400
Mailing address
199 BOMARC RD APT 21, BANGOR, ME 04401-2696
(207) 554-9424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5135
ME
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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