Provider Demographics
NPI:1619912458
Name:HARLOW, ASHLEE NOEL (ATC)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:NOEL
Last Name:HARLOW
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21201 LONGRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-3392
Mailing Address - Country:US
Mailing Address - Phone:949-933-2276
Mailing Address - Fax:
Practice Address - Street 1:5600 CENTERBROOK DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-2704
Practice Address - Country:US
Practice Address - Phone:949-933-2276
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer