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Individual

ASHLEY MATHENY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25615 N RANCH GATE RD, SCOTTSDALE, AZ 85255-2141
(480) 502-7726
(480) 513-4628
Mailing address
25615 N RANCH GATE RD, SCOTTSDALE, AZ 85255-2141
(480) 502-7726

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
11738
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011738
STATE LICENSE
AZ
Enumeration date
08/31/2015
Last updated
01/10/2022
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