Individual
ASHLEY ELIZABETH WINWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 535-1286
Mailing address
4025 E 136 N, RIGBY, ID 83442-5198
(702) 498-0685
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1967
ID
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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