Ashley Nicole Wonneberger
Physical Therapist, Pediatrics in Maple Shade, NJ. Individual provider (NPI-1).
NPI number1164063947
StatusActive
Last updated in NPPESOct 3, 2019
Details
- NPI
- 1164063947
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ashley Nicole Wonneberger
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 3, 2019
- Last updated
- Oct 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251P0200X | Physical Therapist, Pediatrics | PT014338 | GA | Yes |
Practice location
59 Village Of Stoney Run Apt DMaple Shade, NJ 08052-2159
Phone 856-689-2907
Mailing address
59 Village Of Stoney Run Apt DMaple Shade, NJ 08052-2159
Phone 856-689-2907
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