MEDICARE: ASHLEY FLETCHER MSOTR/L

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		WA

General Provider Information

NPI Number	:	1427325612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY FLETCHER MSOTR/L

Provider Business Mailing Address
First Line	:	7803 SE 27TH ST
Second Line	:	D210
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-2866
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7803 SE 27TH ST
Second Line	:	D210
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-2866
Country	:	US
Telephone Number	:	206-851-5833
Fax Number	:

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

Provider Enumeration Date	:	11/16/2011
Last Update Date	:	11/16/2011

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