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NPI Code Detail

MEDICARE: ASHLYN WATERS

MEDICARE:   ASHLYN  WATERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1326886680
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLYN WATERS
Provider Business Mailing Address
First Line : 5808 CLIFFSIDE DR
Second Line :
City : TROY
State : MI
Zip : 48085-3865
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 34643 KETSIN DR
Second Line :
City : STERLING HEIGHTS
State : MI
Zip : 48310-5235
Country : US
Telephone Number : 586-600-8009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2024
Last Update Date : 07/19/2024

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Directions to “ ASHLYN WATERS ” Practice Location

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