| NPI | 1245598242 |
|---|---|
| Former Name | ASHLEY KOONCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: TX 1455) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: TX 1455) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |