Individual
MRS. ASHLEY AICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12907 W 81ST ST S, SAPULPA, OK 74066-8158
(918) 510-2031
Mailing address
310 W TAFT AVE, SAPULPA, OK 74066-5437
(918) 224-6012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2634
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2634
PHYSICAL THERAPIST ASSISTANT
OK
Enumeration date
10/27/2020
Last updated
10/27/2020
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