Healthcare Provider Details

I. General information

NPI: 1356211668
Provider Name (Legal Business Name): ASHLEY DOWELL OT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 NW 18TH TER
CAPE CORAL FL
33993-3621
US

IV. Provider business mailing address

3310 NW 18TH TER
CAPE CORAL FL
33993-3621
US

V. Phone/Fax

Practice location:
  • Phone: 574-596-1653
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY DOWELL
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR
Phone: 574-596-1653