| NPI | 1861708869 |
|---|---|
| Former Name | ASHLEY LAUREN GAUGHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3035) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.017945) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2021-02-25 |