Individual
ASHLEY IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6401 AUBURN DR, VIRGINIA BEACH, VA 23464-3601
(757) 420-2512
Mailing address
3617 GATEWAY DR, PORTSMOUTH, VA 23703-5017
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602904
VA
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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