Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 2306605512 | VA |
NPI | 1013595263 |
---|---|
Provider Name | Robert L Ashford II |
First Address | Richmond, VA 23235-2521 |
Second Address | Powhatan, VA 23139-5846 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2021 |
Last Update Date | 30/03/2021 |