| Doctor Name: | GRETCHEN ELIZABETH HAASE |
| NPI Number: | 1134221799 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 024126-1 |
| Business Practice Address: | 5380 Nesconset Hwy Port Jefferson Station, NY - 117762056 |
| Business Phone Number: | 6314744096 |
| Business Fax Number: | 6314745299 |
| Mailing Address: | 1210 Walnut Ave, BOHEMIA |
| State: | NY |
| Postal Code: | 117162176 |
| Phone Number: | 6315678144 |
| Fax Number: | 6315678144 |
| NPI Enumeration Date: | 09/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 024126-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |