MEDICARE: ASHLEY RANKINS MS, 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	3400	AL

General Provider Information

NPI Number	:	1669184545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY RANKINS MS, OTR/L

Provider Business Mailing Address
First Line	:	2757 GRIFFIN WAY
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-7300
Country	:	US
Telephone Number	:	251-227-0146
Fax Number	:

Provider Business Practice Location Address
First Line	:	3850 GALLERIA WOODS DR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-1098
Country	:	US
Telephone Number	:	205-985-7537
Fax Number	:	205-987-2146

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

Provider Enumeration Date	:	12/22/2022
Last Update Date	:	12/22/2022

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