| NPI | 1083111991 |
|---|---|
| Former Name | ASHLEY PANOWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20844) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 13481) |
| 225100000X Physical Therapist (Licence: NJ 40QA01784400) | |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2026-07-17 |