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Individual

ASHLEY WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
170 DR ARLA WAY, SUITE 102, LOUISVILLE, KY 40229-5427
(502) 955-1081
Mailing address
170 DR ARLA WAY, SUITE 102, LOUISVILLE, KY 40229-5427

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03506
KY

Other

Enumeration date
04/20/2017
Last updated
04/20/2017
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