Individual
ASHLEY ELAINE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1456 CHURCH STREET, DECATUR, GA 30030-1526
(404) 999-3710
(404) 999-3712
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011561
GA
Other
Enumeration date
08/08/2014
Last updated
05/13/2020
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