NPI | 1780920843 |
---|---|
Former Name | ASHLEY MARIE REX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT297680) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60507132) |
225100000X Physical Therapist (Licence: VA 2305211191) | |
225100000X Physical Therapist (Licence: FL PT34502) | |
2251X0800X Physical Therapist, Orthopedic (Licence: MA 20219) | |
Enumeration Date | 2012-12-18 |
Last Update Date | 2022-03-14 |