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1912385543
JASON ACKLEY
SOUTH PORTLAND, ME
NPI
1912385543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT3452)
Enumeration Date
2015-05-15
Last Update Date
2015-08-13
Business Address
-- JASON ACKLEY
100 FODEN RD STE 205
SOUTH PORTLAND, ME 04106-2327
Phone number: 207-780-8860
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Mailing Address
-- JASON ACKLEY
100 GANNETT DR STE C
SOUTH PORTLAND, ME 04106-5900
Phone number: 207-828-0361
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