Individual
ASHLEY MARIE KINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8501 HARCOURT RD, INDIANAPOLIS, IN 46260-2046
(317) 875-9105
Mailing address
1762 SEA LARK LN, NAVARRE, FL 32566-7406
(850) 204-8030
(850) 204-8031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007353A
IN
225XH1200X
Hand Occupational Therapist
31007353A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300074423
—
IN
01
—
31007353A
STATE LICENSE
IN
Enumeration date
09/21/2020
Last updated
05/24/2024
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