Individual
CHAS ASHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5510 E STATE ST, ROCKFORD, IL 61108-2381
(815) 395-4505
Mailing address
1969 WEST HART RD, BELOIT, WI 53511-2283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070021689
IL
225100000X
Physical Therapist
Primary
14500-24
WI
Other
Enumeration date
02/06/2017
Last updated
09/02/2021
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