Individual
ASHLEY LAUREN KONOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1076 RIBAUT RD, SUITE 102, BEAUFORT, SC 29902-5476
(843) 521-1970
(843) 521-0908
Mailing address
1076 RIBAUT RD, SUITE 102, BEAUFORT, SC 29902-5476
(843) 521-1970
(843) 521-0908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7864
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7864
STATE LICENSE
SC
Enumeration date
07/30/2015
Last updated
11/19/2015
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