Healthcare Provider Details

I. General information

NPI: 1720900616
Provider Name (Legal Business Name): ASHLEY TAYLOR COLWELL OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 PEACHTREE DUNWOODY RD
SANDY SPRINGS GA
30328-5382
US

IV. Provider business mailing address

5901 PEACHTREE DUNWOODY RD STE C35 SUITE C-35
SANDY SPRINGS GA
30328-5372
US

V. Phone/Fax

Practice location:
  • Phone: 678-442-7861
  • Fax:
Mailing address:
  • Phone: 678-442-7861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License NumberOT007534
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: