Individual
MRS. ASHLEY LYN VIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
90 HUMBERT LN, WASHINGTON, PA 15301-6549
(724) 228-4740
Mailing address
127 3RD ST, MC DONALD, PA 15057-1141
(412) 608-4586
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE008087
PA
Other
Enumeration date
10/14/2008
Last updated
01/21/2016
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