Individual
ASHLEY RENEA KIRKWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2237 ENGLE RD, FORT WAYNE, IN 46809-1404
(260) 747-2353
Mailing address
2237 ENGLE RD, FORT WAYNE, IN 46809-1404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003324A
IN
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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