Organization
ASHBY ADAPTIVE OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ASHBY OTR/L (OWNER/OPERATOR)
(518) 441-7958
Entity
Organization
Contact information
Practice address
31 SEAMAN AVE, CASTLETON, NY 12033-1309
(518) 441-7958
Mailing address
31 SEAMAN AVE, CASTLETON, NY 12033-1309
(518) 441-7958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012547
NY
225XE0001X
Environmental Modification Occupational Therapist
012547
NY
Other
Enumeration date
08/06/2014
Last updated
10/31/2014
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