| NPI | 1700062767 |
|---|---|
| Former Name | ASHLEY CLITES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1215262) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305205313) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2020-06-19 |