Individual
ASHLEY AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2111 MERRITT RD, EAST LANSING, MI 48823
(517) 332-1132
Mailing address
2111 MERRITT RD, EAST LANSING, MI 48823-6916
(517) 332-1132
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201007748
MI
Other
Enumeration date
05/15/2014
Last updated
08/15/2018
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