Individual
ASHLEY RENEE DEREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1168 E CUTLAR XING, LELAND, NC 28451-6484
(910) 332-3800
(910) 251-0421
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(910) 332-3800
(910) 251-0421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305211575
VA
225100000X
Physical Therapist
Primary
P23054
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P23054
PT LICENSE
NC
Enumeration date
10/04/2017
Last updated
05/28/2024
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