Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1013351220 |
---|---|
Provider Name | Ashley Erin Hoath |
First Address | Lynchburg, VA 24501-2184 |
Second Address | Lynchburg, VA 24501-2184 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2013 |
Last Update Date | 15/07/2014 |