| NPI | 1114579646 |
|---|---|
| Former Name | ASHLEY MARIE DINTAMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: VA 2306604913) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2025-07-24 |