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NPI Code Detail

MEDICARE: DR. ASHLEY GIAMBRA PT, DPT

MEDICARE:  DR. ASHLEY  GIAMBRA  PT, DPT
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
1225100000XPhysical TherapistP22660NC
2225100000XPhysical Therapist020197OH
3225100000XPhysical Therapist049409NY

General Provider Information

NPI Number : 1821877531
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ASHLEY GIAMBRA PT, DPT
Provider Business Mailing Address
First Line : 40 FOREST CREEK CT
Second Line :
City : GRAND ISLAND
State : NY
Zip : 14072-3500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 503 OLDE WATERFORD WAY STE 205
Second Line :
City : LELAND
State : NC
Zip : 28451-4148
Country : US
Telephone Number : 910-399-4039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2023
Last Update Date : 09/22/2023

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