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NPI Code Detail

MEDICARE: ASHLEY BERRY PTA

MEDICARE: ASHLEY BERRY PTA
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1891640868
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY BERRY PTA
Provider Business Mailing Address
First Line : 233 E KING ST STE 103
Second Line :
City : MALVERN
State : PA
Zip : 19355-2574
Country : US
Telephone Number : 484-318-7214
Fax Number :
Provider Business Practice Location Address
First Line : 233 E KING ST STE 103
Second Line :
City : MALVERN
State : PA
Zip : 19355-2574
Country : US
Telephone Number : 484-318-7214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ ASHLEY BERRY PTA” Practice Location

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