Individual
DONIELLE GRACE ASHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1020 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(570) 398-0100
Mailing address
1020 THOMPSON ST, JERSEY SHORE, PA 17740-1729
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP-002369-L
PA
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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