Individual
ASHLEIGH SIMONE AYDELOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
210 W 4TH ST, VANCOUVER, WA 98660-3493
(360) 258-1637
Mailing address
210 W 4TH ST, VANCOUVER, WA 98660-3493
(360) 258-1637
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.60968232
WA
Other
Enumeration date
06/04/2019
Last updated
06/14/2019
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