Individual
ASHLEY WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4408 E GLENHAVEN DR, PHOENIX, AZ 85048-0122
(616) 502-3934
Mailing address
4408 E GLENHAVEN DR, PHOENIX, AZ 85048-0122
(616) 502-3934
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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