Individual
MS. ASHLEE NICOLE BOUIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
136 CARPENTER RD, GAHANNA, OH 43230-2698
(614) 269-4810
Mailing address
160 S HAMILTON RD, GAHANNA, OH 43230-2919
(614) 269-4810
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT004746
OH
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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