Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 9341 | MN |
NPI | 1720435282 |
---|---|
Provider Name | Ashley Ann Roiger |
First Address | Golden Valley, MN 55422-4249 |
Second Address | Golden Valley, MN 55422-4249 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2016 |
Last Update Date | 15/05/2016 |