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Individual

MS. ASHLEY KINCHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
29053 SHARONS RD, SPRINGFIELD, LA 70462-8835
(985) 351-3981
Mailing address
29053 SHARONS RD, SPRINGFIELD, LA 70462-8835
(985) 351-3981

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09241R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008472114
DRIVER LICENSE
LA
Enumeration date
09/30/2015
Last updated
09/30/2015
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