MEDICARE: TRICIA ASHTON PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center		VA

General Provider Information

NPI Number	:	1518399039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRICIA ASHTON PC

Provider Business Mailing Address
First Line	:	5510 CHEROKEE AVE
Second Line	:	SUITE 250
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2320
Country	:	US
Telephone Number	:	703-916-0202
Fax Number	:

Provider Business Practice Location Address
First Line	:	5510 CHEROKEE AVE
Second Line	:	SUITE 250
City	:	ALEXANDRIA
State	:	VA
Zip	:	22312-2320
Country	:	US
Telephone Number	:	703-916-0202
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TRICIA ASHTON
Credential	:
Telephone Number	:	703-916-0202

Provider Enumeration Date	:	08/07/2013
Last Update Date	:	08/07/2013

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