Individual
STEPHANIE ASHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3490 HUMBERT RD, ALTON, IL 62002-7101
(877) 787-3430
Mailing address
114 E IOWA ST, TRENTON, IL 62293-1632
(217) 556-6869
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160007529
IL
225200000X
Physical Therapy Assistant
2016034171
MO
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/27/2020
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