| NPI | 1912418294 |
|---|---|
| Former Name | ASHLEY LAUREN WIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 60779401) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1233005) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2017-10-13 |