Individual
LORI ASHLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
444 ONE ELEVEN PL, COOKEVILLE, TN 38506-4358
(931) 525-6655
Mailing address
199 PUMPKIN LN, CELINA, TN 38551-6131
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1080
TN
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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