| NPI | 1770888711 |
|---|---|
| Former Name | ASHLEY A NOVAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05011105A) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2016-01-11 |