Doctor Name: | ASHLEY NICOLE DOUGVILLO |
NPI Number: | 1306143268 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 070-018760 |
Business Practice Address: | 3701 80th St Kenosha, WI - 531424950 |
Business Phone Number: | 2626971730 |
Business Fax Number: | 2626975290 |
Mailing Address: | 3049 Momentum Pl, CHICAGO |
State: | IL |
Postal Code: | 606891957 |
Phone Number: | 2626570222 |
Fax Number: | 2626577190 |
NPI Enumeration Date: | 02/11/2011 |
NPI Last Update Date: | 12/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070-018760 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
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 |