Clark, Ashley Victoria
Clark, Ashley Victoria is an individual health care provider with primary practice located at 500 Springhouse Cir , Stone Mountain GA 30087-6741. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Clark, Ashley Victoria can be contacted via phone (678) 684-3800.Contact Information
Primary practice address
500 Springhouse Cir
Stone Mountain GA 30087-6741
Phone: (678) 684-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA004397 | Georgia |
Profile Details
| NPI number | 1083355796 |
|---|---|
| LBN Legal business name | Clark, Ashley Victoria |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2022 |
| Last updated | Apr 5th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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