Individual
MRS. ASHLEY ANNE WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
708 EARL DR, LAWRENCEBURG, TN 38464-2918
(931) 629-8739
Mailing address
708 EARL DR, LAWRENCEBURG, TN 38464-2918
(931) 629-8739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4339
TN
Other
Enumeration date
07/13/2008
Last updated
07/13/2008
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