| NPI | 1548488141 |
|---|---|
| Former Name | ASHLEY NICOLE SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501017711) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.014371) |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2016-10-28 |