Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OC009277 | PA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 46TR00358300 | NJ |
NPI | 1063638724 |
---|---|
Provider Name | Ms. Amy Marie Ashton |
First Address | Bensalem, PA 19020-5322 |
Second Address | Bensalem, PA 19020-5322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 04/12/2007 |