Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251H1300X | Human Factors | 1051 | PR |
N | 225XH1300X | Human Factors | 1051 | PR |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 014003-1 | NY |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT60208363 | WA |
NPI | 1588699433 |
---|---|
Provider Name | Pedro Rafael Ashford |
First Address | Spokane, WA 99202-3431 |
Second Address | Spokane, WA 99202-1330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 25/06/2015 |