| NPI | 1083956056 |
|---|---|
| Former Name | ASHLEE ELLEN SCALCUCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 8977) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 12279-24) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2014-10-14 |