Individual
ASHLEY ANSELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
4820 LINCOLN BLVD, MARINA DEL REY, CA 90292-6917
(310) 392-7889
Mailing address
448 MARINE AVE, MANHATTAN BEACH, CA 90266-4433
(310) 567-3495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
306804
CA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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