Individual
ASHLEY HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
1650 MISSOURI ST, SAN DIEGO, CA 92109-3155
(919) 796-5250
Mailing address
2900 CHARLEVOIX DR SE STE 200, GRAND RAPIDS, MI 49546-7086
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17933
CA
Other
Enumeration date
09/28/2017
Last updated
03/17/2018
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