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Individual

MRS. ASHLEY SPRING DEATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1086 JENKINS BRANCH LN, MOUNT ULLA, NC 28125-8699
(877) 991-7837
(877) 991-7837
Mailing address
1175 WALTON PL, SALISBURY, NC 28146-8646
(704) 633-5958
(877) 991-7837

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4139
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147WR
BLUE CROSS BLUE SHIELD
05
7310578
NC
Enumeration date
01/31/2007
Last updated
05/15/2008
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