Provider Demographics
NPI:1114179058
Name:HABRIAL, ASHLEY LYNN (PT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN
Last Name:HABRIAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 EDLOE ST
Mailing Address - Street 2:8303
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1102
Mailing Address - Country:US
Mailing Address - Phone:713-992-5966
Mailing Address - Fax:
Practice Address - Street 1:5151 EDLOE ST
Practice Address - Street 2:8303
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1102
Practice Address - Country:US
Practice Address - Phone:713-992-5966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1172113225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist