Individual
ASHLEY LAUREN CORDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3300 W BREWSTER ST, APPLETON, WI 54914-6444
(920) 832-1657
Mailing address
3300 W BREWSTER ST, APPLETON, WI 54914-6444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12355-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12355-024
—
WI
Enumeration date
06/05/2013
Last updated
09/15/2015
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