Individual
ASHLEY ZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
24 TRUCK HOUSE RD, SEVERNA PARK, MD 21146-2715
(706) 248-7410
Mailing address
3312 AMOROSO CT, UNIT 4, FORT MEADE, MD 20755-1469
(706) 248-7410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4334
MD
225200000X
Physical Therapy Assistant
PTA003372
GA
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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