Individual
ASHLEY RENEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 DUNAWAY LN, AZLE, TX 76020-2605
(817) 444-2536
Mailing address
2701 LANDING CREEK DR APT 1022, FORT WORTH, TX 76131-2429
(254) 717-7829
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
Primary
2147128
TX
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
10/31/2021
Last updated
11/02/2021
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