Provider Demographics
NPI:1952650129
Name:WHITE, ASHLEY C DEPASQUALE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:C DEPASQUALE
Last Name:WHITE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:CATHERINE
Other - Last Name:DEPASQUALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:130 EAST ST
Mailing Address - Street 2:
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-1923
Mailing Address - Country:US
Mailing Address - Phone:508-234-1332
Mailing Address - Fax:508-234-1335
Practice Address - Street 1:130 EAST ST
Practice Address - Street 2:
Practice Address - City:WHITINSVILLE
Practice Address - State:MA
Practice Address - Zip Code:01588
Practice Address - Country:US
Practice Address - Phone:508-234-1332
Practice Address - Fax:508-234-1335
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20178225100000X
RIPT02761225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA20178OtherMASSACHUSETTS LICENSE
RIPT02761OtherLICENSE