| NPI | 1740424191 |
|---|---|
| Former Name | ASHLEY DEBOISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208934) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: TX 1162191) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1162191) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2021-08-24 |