Individual
ASHLEY POPHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 PARK CREEK DR, GREENVILLE, SC 29605-2960
(864) 299-1600
Mailing address
41 PARK CREEK DR, GREENVILLE, SC 29605
(864) 299-1600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10118
SC
225100000X
Physical Therapist
10118.PT
SC
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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