MEDICARE: ASHLEY ROBYN KAUFMAN OTR/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	7792	NC

General Provider Information

NPI Number	:	1467759381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY ROBYN KAUFMAN OTR/L

Provider Business Mailing Address
First Line	:	8511 DAVIS LAKE PKWY
Second Line	:	SUITE #C6-218
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-0536
Country	:	US
Telephone Number	:	704-248-1146
Fax Number	:	877-268-5344

Provider Business Practice Location Address
First Line	:	8511 DAVIS LAKE PKWY
Second Line	:	SUITE # C6-218
City	:	CHARLOTTE
State	:	NC
Zip	:	28269-0536
Country	:	US
Telephone Number	:	704-248-1146
Fax Number	:

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

Provider Enumeration Date	:	02/13/2011
Last Update Date	:	02/13/2011

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