| Ashley Ariyasu, PT, DPT | |
|
6826 S Centinela Ave, Culver City, CA 90230-6301 | |
| (310) 915-6100 | |
| Not Available |
| Full Name | Ashley Ariyasu |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 6826 S Centinela Ave, Culver City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942061320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (California) | Primary |
| Provider Name | Evolution Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174601116 PECOS PAC ID: 0244336964 Enrollment ID: O20070426000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Ariyasu, PT, DPT 3467 Stoner Ave, Los Angeles, CA 90066-2819 Ph: (310) 351-8019 | Ashley Ariyasu, PT, DPT 6826 S Centinela Ave, Culver City, CA 90230-6301 Ph: (310) 915-6100 |
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