Provider Demographics
NPI:1578902714
Name:ASHE, MAUREEN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:ASHE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BARTLETT ST # 2
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-2514
Mailing Address - Country:US
Mailing Address - Phone:413-237-2622
Mailing Address - Fax:
Practice Address - Street 1:3 BARTLETT ST # 2
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:MA
Practice Address - Zip Code:02129-2514
Practice Address - Country:US
Practice Address - Phone:413-237-2622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-20
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18324225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist