Individual ProviderAshley Brooke VidrinePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address516 N Rolling Road, Suite 302, Catonsville, MD 21228(410) 744-1666PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Brooke Vidrine does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417231085Provider TypeIndividualFull NameVidrine, Ashley BrookeTitleMs.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date9/30/2011Last Updated9/30/2011Contact InformationPractice LocationPractice Address516 N Rolling Road, Suite 302, Catonsville, MD 21228Phone(410) 744-1666Fax(410) 788-9755Mailing LocationMailing Address516 N Rolling Road, Suite 302, Catonsville, MD 21228Phone(410) 744-1666Fax(410) 788-9755Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense23814Maryland