Individual
ASHLEY D FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 WILBRAHAM RD, SPRINGFIELD, MA 01109-2067
(413) 782-1800
Mailing address
31 BETTY RD, ENFIELD, CT 06082-2623
(860) 712-6740
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
001176
CT
224Z00000X
Occupational Therapy Assistant
Primary
3907
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001776
DEPARTMENT OF PUBIC HEALTH
CT
01
—
3907
ALLIED PROFESSIONAL HEALTH
MA
Enumeration date
02/23/2021
Last updated
02/23/2021
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