Individual
ASHLEY NICOLE VAN DYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 385-6244
Mailing address
410 RAYMONDALE DR APT 31, SOUTH PASADENA, CA 91030-2141
(559) 802-0282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
298845
CA
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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