Individual
ASHLIANNE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 WILLOWCREST CT, ROSWELL, GA 30075-1828
(678) 447-1265
Mailing address
130 WILLOWCREST CT, ROSWELL, GA 30075-1828
(678) 447-1265
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003040
GA
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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