Individual
ASHLEY HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
19460 OLD JETTON RD # 202, CORNELIUS, NC 28031-6456
(704) 255-6879
Mailing address
6014 WALNUT LOOP RD APT 5103, CHARLOTTE, NC 28277-6002
(704) 776-1006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19407
NC
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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