Provider Demographics
NPI:1003545872
Name:COBB, ASHLYN GRACE (DPT)
Entity Type:Individual
Prefix:DR
First Name:ASHLYN
Middle Name:GRACE
Last Name:COBB
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:5149 RICHARD AVE APT 2218
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-8717
Mailing Address - Country:US
Mailing Address - Phone:512-965-8409
Mailing Address - Fax:
Practice Address - Street 1:7217 TELECOM PKWY STE 200
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-2205
Practice Address - Country:US
Practice Address - Phone:972-495-6986
Practice Address - Fax:972-495-8576
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX3129198225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist