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1780086488
ASHLEY P THEOBALD
GREENVILLE, SC
NPI
1780086488
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
225100000X Physical Therapist
(Licence: TN 10184)
Enumeration Date
2014-09-24
Last Update Date
2022-08-24
Business Address
ASHLEY P THEOBALD PA-C
2 ROPER CORNERS CIR
GREENVILLE, SC 29615-4833
Phone number: 864-234-7815
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Mailing Address
ASHLEY P THEOBALD PA-C
8 TYLER ST
GREENVILLE, SC 29605-2044
Phone number: 346-954-9273
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