Individual
ASHLEY NICOLE CANCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 003576
WV
225100000X
Physical Therapist
PT5896
MS
225100000X
Physical Therapist
Primary
PTH7943
AL
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
Update your record
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