Individual
ASHLEY NICOLE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
970 COLONIAL AVE, YORK, PA 17403-3430
(717) 634-8620
Mailing address
2112 SMITH STATION RD, HANOVER, PA 17331-8587
(717) 634-8620
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004946
PA
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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