Individual
ASHLEY MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
44200 WOODWARD AVE, SUITE 11, PONTIAC, MI 48341-5045
(248) 409-3300
(248) 409-3295
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017287
MI
Other
Enumeration date
09/18/2015
Last updated
11/29/2016
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