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1720587009
ASHLEY MICHELLE PAYNE
CARMEL, IN
NPI
1720587009
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Former Name
ASHLEY MICHELLE RENN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06005557A)
Enumeration Date
2018-02-01
Last Update Date
2018-02-01
Business Address
ASHLEY MICHELLE PAYNE PTA
118 MEDICAL DR
CARMEL, IN 46032-2923
Phone number: 317-573-1037
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Mailing Address
ASHLEY MICHELLE PAYNE PTA
4440 HETH WASHINGTON RD SW
CENTRAL, IN 47110-7826
Phone number: 502-645-7359
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