Individual
KARLA ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1901 MISSION 66, SUITE A, VICKSBURG, MS 39180-3711
(601) 638-4076
(601) 638-4979
Mailing address
PO BOX 822394, VICKSBURG, MS 39182-2394
(601) 638-4076
(601) 638-4979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 0228
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07736442
—
MS
01
—
7249480
AETNA #
MS
Enumeration date
10/20/2006
Last updated
07/08/2007
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