| NPI | 1508464991 |
|---|---|
| Former Name | ASHLEY THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 10118) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 10118.PT) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |