Doctor Name: | ASHLEY ELIZABETH PROSSER |
NPI Number: | 1679889984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 010095 |
Business Practice Address: | 118 Herron St Ft Oglethorpe, GA - 307423126 |
Business Phone Number: | 7068617471 |
Business Fax Number: | |
Mailing Address: | 912 Oak St, CHATTANOOGA |
State: | TN |
Postal Code: | 374032429 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/24/2010 |
NPI Last Update Date: | 08/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 010095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |