Individual
ASHLEY GORTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17901 NW 5TH ST STE 201, PEMBROKE PINES, FL 33029-2810
(954) 606-5430
Mailing address
1010 SW 31ST ST, FORT LAUDERDALE, FL 33315-2928
(954) 806-0740
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT18267
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14453673
CAQH
—
Enumeration date
04/24/2019
Last updated
06/11/2019
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