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NPI Code Detail

MEDICARE: ASHLEY O'HEIR

MEDICARE: ASHLEY O'HEIR
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
1225200000XPhysical Therapy AssistantP1 60505785WA

General Provider Information

NPI Number : 1962877084
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY O'HEIR
Provider Business Mailing Address
First Line : 4912 KEATING RD NW
Second Line :
City : OLYMPIA
State : WA
Zip : 98502-9535
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2689 HOOVER AVE SE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3013
Country : US
Telephone Number : 360-874-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2015
Last Update Date : 12/01/2015

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Directions to “ ASHLEY O'HEIR ” Practice Location

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