Individual
ASHLEY BARDASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
104 BUILDERS PKWY, CORNELIA, GA 30531-5396
(706) 340-0335
Mailing address
150 WYNDAGE CT, CORNELIA, GA 30531-8108
(706) 340-0335
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT007656
GA
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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