Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT018042 | OH |
NPI | 1619629938 |
---|---|
Provider Name | Ashley Christopher |
First Address | Cleveland, OH 44102-2178 |
Second Address | Cleveland, OH 44106-2008 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2022 |
Last Update Date | 19/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PT018042 | OHIO PT BOARD (01) | OH |