Individual
ASHLEY CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1897 ISLAND WALK WAY, STE. 1, FERNANDINA BEACH, FL 32034-1948
(904) 261-4664
(904) 261-5852
Mailing address
PO BOX 1175, ROME, GA 30162-1175
(706) 236-2774
(706) 236-2783
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTAT23640
FL
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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