Individual
TIFFANY ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
216 HALSEY FARM LN, PATRICK SPRINGS, VA 24133-3405
(276) 629-1158
Mailing address
216 HALSEY FARM LN, PATRICK SPRINGS, VA 24133-3405
(276) 629-1158
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001318
VA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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