MEDICARE: ASHLEY HARMON-WILLIAMS OTR

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		CA

General Provider Information

NPI Number	:	1720487689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY HARMON-WILLIAMS OTR

Provider Business Mailing Address
First Line	:	6700 WARNER AVE APT 21F
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-5343
Country	:	US
Telephone Number	:	909-653-3585
Fax Number	:

Provider Business Practice Location Address
First Line	:	6700 WARNER AVE APT 21F
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-5343
Country	:	US
Telephone Number	:	909-653-3585
Fax Number	:

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

Provider Enumeration Date	:	08/17/2014
Last Update Date	:	08/17/2014

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