Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | TPT020657 | PA |
N | 2251G0304X | Physical Therapist - Geriatrics | TPT020657 | PA |
N | 2251P0200X | Physical Therapist - Pediatrics | TPT020657 | PA |
N | 2251S0007X | Physical Therapist - Sports | TPT020657 | PA |
N | 2251X0800X | Physical Therapist - Orthopedic | TPT020657 | PA |
NPI | 1396907713 |
---|---|
Provider Name | Miss Ashley Lyn Smolinsky |
First Address | Tamaqua, PA 18252-4431 |
Second Address | Tamaqua, PA 18252-4431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 26/06/2008 |