Individual
ASHLEY E SUPANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1935 W MAIN ST, SALEM, VA 24153-3109
(540) 302-0190
(540) 302-0191
Mailing address
1935 W MAIN ST, SALEM, VA 24153-3109
(540) 302-0190
(540) 302-0191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206806
VA
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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