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NPI Code Detail

MEDICARE: ASHTON WOLFFE MSOT

MEDICARE: ASHTON WOLFFE MSOT
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
1225X00000XOccupational Therapist21336CA

General Provider Information

NPI Number : 1487303798
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHTON WOLFFE MSOT
Provider Business Mailing Address
First Line : 5513 FLORIDA DR
Second Line :
City : CONCORD
State : CA
Zip : 94521-4632
Country : US
Telephone Number : 323-333-6731
Fax Number :
Provider Business Practice Location Address
First Line : 1050 SAN MIGUEL RD
Second Line :
City : CONCORD
State : CA
Zip : 94518-2094
Country : US
Telephone Number : 323-333-6731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2022
Last Update Date : 03/22/2022

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Directions to “ ASHTON WOLFFE MSOT” Practice Location

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