Basic Information
| Provider Information | |||||||||
| NPI: | 1407168941 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LANGFORD | ||||||||
| FirstName: | ASHLEY | ||||||||
| MiddleName: | CRAIG | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DPT, FAAOMPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 123 CANAL ST STE 203 | ||||||||
| Address2: | |||||||||
| City: | POOLER | ||||||||
| State: | GA | ||||||||
| PostalCode: | 313224104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9129881283 | ||||||||
| FaxNumber: | 8439869369 | ||||||||
| Practice Location | |||||||||
| Address1: | 123 CANAL ST STE 203 | ||||||||
| Address2: | |||||||||
| City: | POOLER | ||||||||
| State: | GA | ||||||||
| PostalCode: | 313224104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9129881283 | ||||||||
| FaxNumber: | 8439869369 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2010 | ||||||||
| LastUpdateDate: | 09/10/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251X0800X | 6236 | SC | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | 2251X0800X | PT013638 | GA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic |
No ID Information.