Individual
DR. ASHLEYROSE COSTELLO SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2040 GAUSE BLEVD EAST, SLIDELL, LA 70461
(985) 280-2717
Mailing address
23444 ARCADIA FARM RD, PASS CHRISTIAN, MS 39571-6002
(646) 707-2705
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
031518-1
NY
Other
Enumeration date
06/29/2009
Last updated
06/09/2021
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