| NPI | 1023150166 |
|---|---|
| Former Name | ASHLEY ELIZABETH GAINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 17565) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1159046) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |