Individual provider · NPI-1

Ashli Dian Allen

Physical Therapy Assistant · Marietta, GA

NPI number1114485166
StatusActive
Last updated in NPPESMar 8, 2019

Details

NPI
1114485166
Entity type
Individual (NPI-1)
Name
Ashli Dian Allen
Sex
Female
Sole proprietor
No
Enumeration date
Mar 8, 2019
Last updated
Mar 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant––Yes

Practice location

613 Roselane St Nw
Marietta, GA 30060-6940

Phone 770-792-9800

Mailing address

613 Roselane St Nw
Marietta, GA 30060-6940

Phone 770-792-9800

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