Individual
NICOLE S. ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 ABRAHMS BLVD, WEST HARTFORD, CT 06117-1508
(860) 523-3860
(860) 523-3819
Mailing address
60 SCHOOL ST, BLOOMFIELD, CT 06002-3225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008139
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004270807
—
CT
01
—
080008139
ANTHEM
CT
Enumeration date
07/30/2007
Last updated
09/07/2011
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