Individual
ASHLEY SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1302 ROANOKE BLVD, SALEM, VA 24153-5202
(540) 397-0308
Mailing address
1302 ROANOKE BLVD, SALEM, VA 24153-5202
(540) 397-0308
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001193
VA
Other
Enumeration date
06/15/2014
Last updated
06/15/2014
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