Michael Hase PTA

NPI 1649447590 - Physical Therapist - 2251G0304X

NPI Details
NPI 1649447590
Gender Male
Enumeration Date 05/09/2008
Last Updated 05/09/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
246 SPRUCE ST
GRIDLEY CA, 95948-2216, US
Phone (530) 846-6226
Fax
Business Location
246 SPRUCE ST
GRIDLEY CA, 95948-2216, US
Phone
Fax
Toxanomy
Taxonomy Code 2251G0304X
License State California
License Number AT 5847
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According to our database, Michael Hase PTA NPI is 1649447590, taxonomy code is 2251G0304X and license number is AT 5847, license state is located at California. Michael Hase PTA physically located at 246 Spruce St, Gridley CA, 95948-2216. NPI Number Michael Hase PTA has the Individual type.

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1649447590 NPI number is provided on an as is basis without warranty of any kind. 1649447590 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Hase PTA are for informational purposes only.