Individual
ASHLEY N LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
320 N 7TH ST, CORNELL, WI 54732-8120
(715) 239-6288
Mailing address
320 N 7TH ST, CORNELL, WI 54732-8120
(715) 239-6288
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2958-19
WI
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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