Organization
HAILE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE E HAILE PT (OWNER)
(410) 571-1151
Entity
Organization
Contact information
Practice address
2152 RENARD CT, ANNAPOLIS, MD 21401-6756
(410) 571-1151
(410) 266-1513
Mailing address
116 AMESBURY CT, SEVERNA PARK, MD 21146-1200
(410) 647-7326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
16024
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053539601
INDIVIDUAL NPI
MD
Enumeration date
10/06/2008
Last updated
03/19/2020
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