Doctor Name: | ASHLEY MAXWELL |
NPI Number: | 1093184111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 5501017287 |
Business Practice Address: | 33900 Harper Ave Suite 104 Clinton Township, MI - 48035 |
Business Phone Number: | 5864169100 |
Business Fax Number: | 5684169103 |
Mailing Address: | 27652 Franklin Road, SOUTHFIELD |
State: | MI |
Postal Code: | 48034 |
Phone Number: | 2483598700 |
Fax Number: | 2483598703 |
NPI Enumeration Date: | 09/18/2015 |
NPI Last Update Date: | 09/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501017287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |