Individual
ASHLEY JORDON SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
322 E 59TH ST, APT. 5B, NEW YORK, NY 10022-1526
(661) 212-0804
Mailing address
322 E 59TH ST, APT. 5B, NEW YORK, NY 10022-1526
(661) 212-0804
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015289-1
NY
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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