Individual
ASHLEY CAROL WILCOXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 CASEY ST STE A, CAMPBELLSVILLE, KY 42718-6858
(270) 465-7768
Mailing address
121 CASEY ST STE A, CAMPBELLSVILLE, KY 42718-6858
(270) 465-7768
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
175296
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175296
CERTIFIED OCCUPATIONAL THERAPIST ASSISTANT
KY
Enumeration date
04/02/2018
Last updated
06/16/2018
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