Individual
ASHLEY RAE FORRESTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
39 ALAMEDA DR, SEEKONK, MA 02771-2020
(508) 336-7616
Mailing address
39 ALAMEDA DR, SEEKONK, MA 02771-2020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11999
FL
Other
Enumeration date
10/10/2012
Last updated
12/28/2012
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