Individual
ASHLEY J MAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
24 MARSH RD, TIBURON, CA 94920-2541
(646) 821-3390
Mailing address
24 MARSH RD, TIBURON, CA 94920-2541
(646) 821-3390
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
297766
CA
225100000X
Physical Therapist
40QA01474900
NJ
Other
Enumeration date
11/27/2012
Last updated
02/26/2020
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