Bernum Benjamin Ashley III

NPI #1932492535 in Moore, South Carolina

Provider Information

NPI Number: 1932492535
Entity Type: Individual
Name: Bernum Benjamin Ashley III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: May 16, 2011
Last Updated: May 16, 2011

Practice Location

Address: 125 MALLARD DR
City: Moore
State: South Carolina
ZIP Code: 29369-9464
Phone: (864) 486-9585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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