| NPI | 1568716124 |
|---|---|
| Former Name | ASHELY PACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 9433) |
| Additional Taxonomies | 2251X0800X Physical Therapist Orthopedic (Licence: TN 9433) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |