| NPI | 1912101700 |
|---|---|
| Former Name | ASHLEY NICOLE BOEHME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1171399) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 11435) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2024-04-04 |