Individual
ASHLEY WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2125 HILLIARD RD, RICHMOND, VA 23228-4600
(804) 266-9666
Mailing address
2414 FLORALAND DR., ROANOKE, VA 24012
(540) 293-7648
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601650
VA
Other
Enumeration date
09/17/2007
Last updated
09/17/2007
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