Individual
ASHLEY H WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
130 E BROAD ST, CAMILLA, GA 31730-1809
(229) 336-1115
(229) 336-1151
Mailing address
617 4TH ST NW, CAIRO, GA 39828-2044
(229) 377-8646
(229) 336-1151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012449
GA
Other
Enumeration date
08/09/2016
Last updated
05/08/2019
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