Individual
MICHAEL HASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
246 SPRUCE ST, GRIDLEY, CA 95948-2216
(530) 846-6226
Mailing address
246 SPRUCE ST, GRIDLEY, CA 95948-2216
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
AT 5847
CA
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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