Individual
DEBBIE AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
988571
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230553
—
OR
01
—
800895101
REGENCE MEDADVANTAGE
OR
01
—
838406001
REGENCE BLUE CROSS BLUE SHEILD
OR
01
—
P00396773
RAIL ROAD MEDICARE
OR
Enumeration date
02/12/2007
Last updated
11/05/2008
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