Individual
DANIELLE RENE ASHFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1404 GOLF PARK DR, LAKE ARIEL, PA 18436-4252
(570) 698-5647
Mailing address
1404 GOLF PARK DR, LAKE ARIEL, PA 18436-4252
(157) 069-8564
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
TE1002655
PA
225200000X
Physical Therapy Assistant
Primary
TE1002655
PA
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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