Individual
ASHLEY PAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1027 BURLINGTON AVE, DOWNERS GROVE, IL 60515-4609
(630) 964-4008
(630) 964-4117
Mailing address
5037 S LINDER AVE, CHICAGO, IL 60638-1739
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.007760
IL
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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