| NPI | 1366976532 |
|---|---|
| Former Name | ASHLEY FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305217496) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: VA 2306604689) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2025-11-11 |