| NPI | 1366000382 |
|---|---|
| Former Name | ASHLEY ELIZABETH REDDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: VA 2305212820) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305212820) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2021-04-16 |