Most Relevant Information
Provider Data
| NPI Number: | 1003809690 |
| Provider Name: | URSULA VOLLKOMMER-HALEY ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | AT53 |
Most Important Dates
| Enumeration Date: | 08/30/2005 |
| Last Updated: | 09/03/2013 |
Provider Practice Location
40 E EMERSON CUMMINGS BLVD
OLD ORCHARD BEACH
ME
040641460
Practice Location Phone/Fax
| Phone: | 2079344461 |
| Fax: |
Provider Mailing Location
428 SOKOKIS TRL N
LIMERICK
ME
040483106
Provider Mailing Phone/Fax
| Phone: | 2078316641 |
| Fax: |