Individual
ASHLEY B HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
9101 TIMBER OAKS DR, FORT WORTH, TX 76179-3247
(817) 929-5655
(817) 335-1466
Mailing address
9101 TIMBER OAKS DR, FORT WORTH, TX 76179-3247
(817) 929-5655
(817) 335-1466
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
109860
TX
225XP0200X
Pediatric Occupational Therapist
Primary
109860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005723401
—
TX
05
—
163724102
—
TX
01
—
8T3849
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/13/2007
Last updated
08/06/2014
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