Healthcare Provider Details

I. General information

NPI: 1053017699
Provider Name (Legal Business Name): ASHLYN OWENS HULL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2023
Last Update Date: 02/06/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

U.S. ARMY HEALTH CLINIC HOHENFELS UNIT 28216 HOHENFELS,
APO AE
09173
US

IV. Provider business mailing address

CMR 414 BOX 442
APO AE
09173-0005
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-3300
  • Fax:
Mailing address:
  • Phone: 910-585-0781
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP20970
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: