MEDICARE: ASHLEY MARIE SASS OTR/L

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
1	225X00000X	Occupational Therapist	1447	NE

General Provider Information

NPI Number	:	1568761146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY MARIE SASS OTR/L

Provider Business Mailing Address
First Line	:	1505 ELKHORN DR
Second Line	:
City	:	ARLINGTON
State	:	NE
Zip	:	68002-3054
Country	:	US
Telephone Number	:	402-981-2875
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 ELKHORN DR
Second Line	:
City	:	ARLINGTON
State	:	NE
Zip	:	68002-3054
Country	:	US
Telephone Number	:	402-981-2875
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2011
Last Update Date	:	01/30/2018

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