Individual
MRS. JENNIFER LYN ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
22 27TH AVE SE, MINNEAPOLIS, MN 55414-3102
(612) 332-4262
Mailing address
204 W MAIN ST, PRINCETON, WI 54968-9007
(920) 309-2502
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
950-019
WI
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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