Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT023302 | PA |
NPI | 1174930630 |
---|---|
Provider Name | Ashley Schecter |
First Address | Philadelphia, PA 19107-5826 |
Second Address | Philadelphia, PA 19107-5826 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2014 |
Last Update Date | 16/07/2014 |