Individual
MISS ASHLEY KAY SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2649 E 75TH ST, CHICAGO, IL 60649-3835
(773) 356-9300
Mailing address
520 N KINGSBURY ST, APT 1803, CHICAGO, IL 60654-8766
(269) 744-7353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.019440
IL
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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