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NPI Code Detail

MEDICARE: HEATHER E ASHWORTH B.S., CEIS, DS

MEDICARE: HEATHER E ASHWORTH B.S., CEIS, DS
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1720267255
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER E ASHWORTH B.S., CEIS, DS
Provider Business Mailing Address
First Line : 68 ALLISON AVE
Second Line :
City : TAUNTON
State : MA
Zip : 02780-6958
Country : US
Telephone Number : 508-880-0202
Fax Number :
Provider Business Practice Location Address
First Line : 68 ALLISON AVE
Second Line :
City : TAUNTON
State : MA
Zip : 02780-6958
Country : US
Telephone Number : 508-880-0202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2007
Last Update Date : 11/01/2007

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