Ashley Mae Copeland, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Celina, TN

NPI 1619440948 · NPPES record last updated Jan 9, 2019

Key facts

NPI
1619440948
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
2271 (TN)
Practice address
120 Pitcock LN
Celina, TN 38551-4058
Phone
(931) 243-3139
NPI assigned
Jan 9, 2019
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

LicenseStateTypeSpecialty
2271TNMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2271 TN Yes

Addresses

Primary practice location

120 Pitcock LN
Celina, TN 38551-4058

Mailing address

99 Ross Boles Rd
Celina, TN 38551-6137

Other identifiers

IdentifierTypeStateIssuer
2271OtherTNCOTA/L

Other providers in Celina, TN

All providers in Celina, TN · Occupational Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.