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NPI Code Detail

MEDICARE: MS. ASHLEY NICOLE MOSELEY OTA

MEDICARE: MS. ASHLEY NICOLE MOSELEY OTA
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
1224Z00000XOccupational Therapy AssistantT-03522KS

General Provider Information

NPI Number : 1922446863
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHLEY NICOLE MOSELEY OTA
Provider Business Mailing Address
First Line : 3001 IVY DR
Second Line :
City : NORTH NEWTON
State : KS
Zip : 67117-8001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3001 IVY DR
Second Line :
City : NORTH NEWTON
State : KS
Zip : 67117-8001
Country : US
Telephone Number : 316-284-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2013
Last Update Date : 06/13/2013

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