Provider Demographics
NPI:1578879813
Name:FRUNER, ASHLEY ERIN (DPT)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ERIN
Last Name:FRUNER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 DAVENPORT LN
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-6808
Mailing Address - Country:US
Mailing Address - Phone:360-362-3625
Mailing Address - Fax:
Practice Address - Street 1:606 DAVENPORT LN
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6808
Practice Address - Country:US
Practice Address - Phone:360-362-3625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-24
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37006225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist