Individual
ASHLEY GOTT HAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
360 BROADWAY, BANGOR, ME 04401-3979
(207) 907-1825
Mailing address
102 SAWYER RD, HAMPDEN, ME 04444-3305
(207) 991-4333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4488
ME
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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