Provider Demographics
NPI:1104541721
Name:SORTO, ASHLEY MABEL
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MABEL
Last Name:SORTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8347 VERONA DR
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3419
Mailing Address - Country:US
Mailing Address - Phone:240-762-8870
Mailing Address - Fax:
Practice Address - Street 1:8347 VERONA DR
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3419
Practice Address - Country:US
Practice Address - Phone:240-762-8870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer