Most Relevant Information
Provider Data
| NPI Number: | 1003460114 |
| Provider Name: | ASHLEY VANGUNDY |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT60974763 |
Most Important Dates
| Enumeration Date: | 07/26/2019 |
| Last Updated: | 07/26/2019 |
Provider Practice Location
6825 BURDEN BLVD STE D
PASCO
WA
993015633
Practice Location Phone/Fax
| Phone: | 5094160666 |
| Fax: | 5095451112 |
Provider Mailing Location
6825 BURDEN BLVD STE D
PASCO
WA
993015633
Provider Mailing Phone/Fax
| Phone: | 5094160666 |
| Fax: | 5095451112 |