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General NPI Number Information
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NPI Number | 1205693892
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Entity Type | Individual
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Provider Name | JULIA ALLISON CYRILLA ASHLEY
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Gender | Female
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Dates
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Enumeration Date | 03/01/2024
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 711 TROY SCHENECTADY RD STE 216
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City | LATHAM
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State | NY
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Zip | 12110-2461
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Country | US
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Telephone | 518-786-1665
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Fax |
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Provider Business Mailing Address
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Address Line | 114 RIVERWALK WAY UNIT 9
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City | COHOES
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State | NY
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Zip | 12047-3336
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Country | US
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Telephone | 518-590-4341
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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