Provider Demographics
NPI:1710336599
Name:MEEHAN, HALI (DPT)
Entity Type:Individual
Prefix:
First Name:HALI
Middle Name:
Last Name:MEEHAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HALI
Other - Middle Name:
Other - Last Name:FLEISHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:94 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04038-1340
Mailing Address - Country:US
Mailing Address - Phone:207-839-5860
Mailing Address - Fax:207-839-5860
Practice Address - Street 1:335 CORINNA RD
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:ME
Practice Address - Zip Code:04930-2040
Practice Address - Country:US
Practice Address - Phone:207-992-0077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-13
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist