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NPI Code Detail

MEDICARE: ASHLEY CHRISTIAN

MEDICARE: ASHLEY CHRISTIAN
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 Therapist2876AL
2225X00000XOccupational TherapistOT21715FL

General Provider Information

NPI Number : 1538559364
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY CHRISTIAN
Provider Business Mailing Address
First Line : 4423 BRUNSWICK DR
Second Line :
City : PRICHARD
State : AL
Zip : 36613-3322
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6984 PINE FOREST RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-8908
Country : US
Telephone Number : 251-264-9701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2015
Last Update Date : 04/06/2021

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Directions to “ ASHLEY CHRISTIAN ” Practice Location

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