Individual
MISS ASHTON GRACE WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
545 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-3389
(678) 377-2833
Mailing address
545 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-3389
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15427281
—
GA
Enumeration date
10/29/2021
Last updated
10/29/2021
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