IndividualActive
Ashley Waldun, PTA
NPI 1083999023 · Physical Therapy Assistant · Odenton, MD
Provider details
- NPI number
- 1083999023
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- A3704 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
166 Goldsborough Dr
Odenton, MD 21113-4003
Phone: (410) 647-6473
Approximate (ZIP-level) locationGet directions
Mailing address
166 Goldsborough Dr
Odenton, MD 21113-4003
Registry dates
- Enumerated
- 2011-10-20
- Last updated
- 2011-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.