NPI | 1457945305 |
---|---|
Former Name | ASHLEY N POGUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: FL PT42367) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2021006241) |
Enumeration Date | 2021-02-22 |
Last Update Date | 2025-05-30 |