Individual
ASHLEY IVY RASANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3618 MADACA LN, TAMPA, FL 33618-2057
(813) 978-9700
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0915
(813) 978-9700
(813) 558-6190
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31403
FL
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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