Provider Demographics
NPI:1629088638
Name:HAMEL, ANGELA (MSPT)
Entity Type:Individual
Prefix:MISS
First Name:ANGELA
Middle Name:
Last Name:HAMEL
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6073
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-6073
Mailing Address - Country:US
Mailing Address - Phone:207-781-2543
Mailing Address - Fax:207-781-5077
Practice Address - Street 1:182 US ROUTE 1
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1310
Practice Address - Country:US
Practice Address - Phone:207-781-2543
Practice Address - Fax:207-781-5077
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT2193225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEMM7691Medicare ID - Type Unspecified