Individual
TIFFANY ASHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
829 FAIRMONT RD, MORGANTOWN, WV 26501-0088
(304) 320-2094
Mailing address
12 MELROSE ST, CLARKSBURG, WV 26301-9560
(304) 320-2094
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001780
WV
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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