JASON ACKLEY

INTERMED PA

Dr JASON ACKLEY is a male medical professional, specializing in Physical Therapy. He graduated in 2008.

Contact

INTERMED PA

100 FODEN RD W
SUITE 100
SOUTH PORTLAND
ME
041062327

Tel: 2075233900

JASON ACKLEY Information

Npi 1912385543
Pac Id 5395059984
Professional Enrollment Id I20150727001006
Last Name ACKLEY
First Name JASON
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2008
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INTERMED PA
Group Practice Pac Id 5092605261
Number Of Group Practice Members 123
Line 1 Street Address 100 FODEN RD W
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City SOUTH PORTLAND
State ME
Zip Code 041062327
Phone Number 2075233900
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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