Individual
MRS. ASHLEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3879 SAND DUNE CT, DESTIN, FL 32541
(985) 710-4169
Mailing address
3879 SAND DUNE CT, DESTIN, FL 32541-3209
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
18826
FL
225X00000X
Occupational Therapist
OTT.200358
LA
Other
Enumeration date
06/18/2006
Last updated
07/18/2018
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