Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XM0800X | Mental Health | ||
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 5201012691 | MI |
NPI | 1992464903 |
---|---|
Provider Name | Ashley Nicole Welch |
First Address | Royal Oak, MI 48073-1162 |
Second Address | Ann Arbor, MI 48104-5131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2021 |
Last Update Date | 17/12/2021 |