Phyllis Ann Ashbrook

Individual provider Active NPI Occupational Therapy Assistant · Clarksville, IN

NPI 1093979452 · NPPES record last updated Jul 15, 2008

Key facts

NPI
1093979452
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
32001146A (IN)
Practice address
101 Potters LN
Clarksville, IN 47129-1017
Phone
(812) 948-0808
NPI assigned
Jul 15, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32001146AINMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32001146A IN Yes

Addresses

Primary practice location

101 Potters LN
Clarksville, IN 47129-1017

Mailing address

19215 Highway 62
Marysville, IN 47141-9632

Other providers in Clarksville, IN

All providers in Clarksville, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.