MEDICARE: ASHLEY LEE NEWMAN 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	OC013168	PA

General Provider Information

NPI Number	:	1689366403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY LEE NEWMAN OTR/L

Provider Business Mailing Address
First Line	:	PO BOX 82
Second Line	:
City	:	FREEBURG
State	:	PA
Zip	:	17827-0082
Country	:	US
Telephone Number	:	570-850-7544
Fax Number	:

Provider Business Practice Location Address
First Line	:	631 MAIN ST
Second Line	:
City	:	RICHFIELD
State	:	PA
Zip	:	17086-8691
Country	:	US
Telephone Number	:	717-694-3434
Fax Number	:

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

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	05/22/2023

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