| NPI | 1902468200 |
|---|---|
| Former Name | ASHLEY NICOLE PENNINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 5901) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NE 3984) |
| 225100000X Physical Therapist (Licence: KS 11-06159) | |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2021-05-21 |