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Individual

ASHLEY POLLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
2387 WARM HEARTH DR, BLACKSBURG, VA 24060-6281
(540) 552-9176
Mailing address
312 3RD AVE, RADFORD, VA 24141-2606

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605052
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2306605052
VIRGINIA BOARD OF PHYSICAL THERAPY
VA
Enumeration date
09/18/2020
Last updated
09/18/2020
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