NPI | 1700312311 |
---|---|
Former Name | ASHLEY MARIE SEBEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014497) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017021435) |
225100000X Physical Therapist (Licence: KS 11-05587) | |
Enumeration Date | 2017-05-03 |
Last Update Date | 2025-08-06 |