Individual
NICOLE ASHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5516 FENWAY DR, CHARLOTTE, NC 28273-3976
(704) 785-0560
Mailing address
1225 S CHURCH ST APT 413, CHARLOTTE, NC 28203-4189
(757) 822-9198
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14819
NC
Other
Enumeration date
01/07/2019
Last updated
04/26/2022
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