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NPI Code Detail

MEDICARE: ASHLEY VILLM DPT

MEDICARE:   ASHLEY  VILLM  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 Therapist

General Provider Information

NPI Number : 1912467275
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY VILLM DPT
Provider Business Mailing Address
First Line : 1102 WARRENTON CT NW
Second Line :
City : CALABASH
State : NC
Zip : 28467-2199
Country : US
Telephone Number : 360-701-2243
Fax Number :
Provider Business Practice Location Address
First Line : 9600 NO 5 SCHOOL RD NW
Second Line :
City : ASH
State : NC
Zip : 28420-2122
Country : US
Telephone Number : 910-287-6007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2019
Last Update Date : 03/22/2019

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Directions to “ ASHLEY VILLM DPT” Practice Location

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