Provider Demographics
NPI:1659742088
Name:ROJAN, ASHLEY (PT, DPT, ATC/L)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ROJAN
Suffix:
Gender:F
Credentials:PT, DPT, ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1590 S SINCLAIR ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-5933
Mailing Address - Country:US
Mailing Address - Phone:714-939-6200
Mailing Address - Fax:714-939-6500
Practice Address - Street 1:1590 S SINCLAIR ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-5933
Practice Address - Country:US
Practice Address - Phone:714-939-6200
Practice Address - Fax:714-939-6500
Is Sole Proprietor?:No
Enumeration Date:2015-10-12
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAA1603669432255A2300X
CA292254225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer