Individual
ASHLEY NICOLE MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 ROSE ST, GRAFTON, WV 26354-1678
(304) 265-0095
Mailing address
44 MAPLE LAKE RD, BRIDGEPORT, WV 26330-7616
(304) 641-5325
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002119
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
587257420
PASSPORT
WV
Enumeration date
12/06/2020
Last updated
12/06/2020
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