Provider Demographics
NPI:1992082234
Name:THORN, ASHLEY LYNN (PT)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:LYNN
Last Name:THORN
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 1:30 SEMINARY AVE UNIT 3
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2614
Mailing Address - Country:US
Mailing Address - Phone:908-955-7616
Mailing Address - Fax:908-955-7408
Practice Address - Street 1:30 SEMINARY AVE UNIT 3
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2614
Practice Address - Country:US
Practice Address - Phone:908-955-7616
Practice Address - Fax:908-955-7408
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01424200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist