Individual
ASHLEY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6290 EAGLE RIDGE DR, GURNEE, IL 60031-4713
(847) 380-0415
Mailing address
6290 EAGLE RIDGE DR, GURNEE, IL 60031-4713
(847) 380-0415
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-19-107852
IL
225X00000X
Occupational Therapist
Primary
056.015629
IL
Other
Enumeration date
02/14/2020
Last updated
09/15/2023
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