Provider Demographics
NPI:1083133029
Name:FLOWERS, ASHLEIGH MAE PERMAR (DPT)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:MAE PERMAR
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:
Other - Last Name:HAUCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 DOCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-8910
Mailing Address - Country:US
Mailing Address - Phone:570-837-2123
Mailing Address - Fax:570-837-2185
Practice Address - Street 1:465 SUSQUEHANNA TRL
Practice Address - Street 2:
Practice Address - City:WATSONTOWN
Practice Address - State:PA
Practice Address - Zip Code:17777-8112
Practice Address - Country:US
Practice Address - Phone:570-742-2453
Practice Address - Fax:570-742-2468
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT026230225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist