Provider Demographics
NPI:1770890063
Name:GILBERT, ASHLEIGH DAI (DPT)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:DAI
Last Name:GILBERT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:DAI
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7400 BEAUFONT SPRINGS DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5556
Mailing Address - Country:US
Mailing Address - Phone:804-320-2220
Mailing Address - Fax:804-320-2226
Practice Address - Street 1:7400 BEAUFONT SPRINGS DR
Practice Address - Street 2:SUITE 120
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-5556
Practice Address - Country:US
Practice Address - Phone:804-320-2220
Practice Address - Fax:804-320-2226
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP12825225100000X
MD23460225100000X
VA23052076262251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist