Individual
ASHLEY EISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
11033 SCENIC BRUSH DR, PEYTON, CO 80831-6975
(214) 604-2792
Mailing address
11033 SCENIC BRUSH DR, PEYTON, CO 80831-6975
(214) 604-2792
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0005425
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24368858
CDE PROFESSIONAL SPECIAL SERVICES LICENSE
—
01
—
397747
NBCOT CERTIFICATION
—
01
—
OT.0005425
STATE LICENCE
CO
Enumeration date
03/01/2023
Last updated
03/01/2023
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