Provider Demographics
NPI:1265773048
Name:DENARO, ASHLEE (PT)
Entity type:Individual
Prefix:MISS
First Name:ASHLEE
Middle Name:
Last Name:DENARO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25431 CABOT RD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-5518
Mailing Address - Country:US
Mailing Address - Phone:949-362-8877
Mailing Address - Fax:949-362-9230
Practice Address - Street 1:25431 CABOT RD
Practice Address - Street 2:SUITE 118
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5518
Practice Address - Country:US
Practice Address - Phone:949-362-8877
Practice Address - Fax:949-362-9230
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT36968174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist