Individual
MRS. PHYLLIS ANN ASHBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 POTTERS LN, CLARKSVILLE, IN 47129-1017
(812) 948-0808
Mailing address
19215 HIGHWAY 62, MARYSVILLE, IN 47141-9632
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001146A
IN
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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