MEDICARE: MRS. ASHLEY AUER 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
1	225100000X	Physical Therapist	41439	CA

General Provider Information

NPI Number	:	1114325420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ASHLEY AUER PT, DPT

Provider Business Mailing Address
First Line	:	690 OTAY LAKES RD
Second Line	:	SUITE 200
City	:	CHULA VISTA
State	:	CA
Zip	:	91910-8904
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	690 OTAY LAKES RD
Second Line	:	SUITE 200
City	:	CHULA VISTA
State	:	CA
Zip	:	91910-8904
Country	:	US
Telephone Number	:	619-475-6910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2014
Last Update Date	:	12/18/2014

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