Individual
ASHLEY ATALESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 DEMOTT LN, SOMERSET, NJ 08873-2762
(732) 873-2000
Mailing address
417 W PEACE ST APT 826, RALEIGH, NC 27603-5045
(201) 400-0983
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00995400
NJ
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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