Individual
ASHLEY BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 WESTMINSTER AVE, HANOVER, PA 17331-9141
(717) 646-3742
Mailing address
425 WESTMINSTER AVE, HANOVER, PA 17331-9141
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007496
PA
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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