Ashley Ann Furman, COTA
Individual provider Active NPI Occupational Therapy Assistant · Clinton, WI
NPI 1265875009 · NPPES record last updated Apr 11, 2013
Key facts
- NPI
- 1265875009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 4775-27 (WI)
- Practice address
- 709 Meadow Park Dr
Clinton, WI 53525-9777 - Phone
- (608) 676-2202
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4775-27 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4775-27 | WI | Yes |
Addresses
Primary practice location
709 Meadow Park Dr
Clinton, WI 53525-9777
Mailing address
5517 E Creek Rd
Beloit, WI 53511-8935
Phone (262) 379-0012
Other providers in Clinton, WI
- Clinton Pharmacy LLC
- Lara Damico
- Nicholas Damman
- Brian D Dittmann
- C Jean Dittmann
- Generations Care Partners Corporation Dba Caring Senior Service Milwau
- Erin Grenawalt
- Brian A Hamann
- Treasa Hendrickson
- Brooke Johansen
All providers in Clinton, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.