Individual
MISS ASHLEE GAIL WINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10020 PROFESSIONAL CENTER DRIVE, SUITE 100, HAMBURG, MI 48139
(810) 231-6904
(810) 231-6906
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013958
MI
Other
Enumeration date
07/26/2010
Last updated
11/13/2015
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