Individual
MRS. DANIELLE JENNINGS ASHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
103 GOSSMAN DRIVE, SOUTHERN PINES, NC 28387
(910) 246-1110
Mailing address
PO BOX 155, VASS, NC 28394
(910) 245-3279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5140
NC
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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