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Individual

ASHLEY W WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2940 ROLLINGRIDGE RD, SUITE 200, NAPERVILLE, IL 60564-4231
(630) 527-0485
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070018651
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01014360
MCRR
IL
Enumeration date
07/25/2011
Last updated
04/26/2012
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