Ashley Zika, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Baldwin, MI
NPI 1649755653 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1649755653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5202008422 (MI)
- Practice address
- 600 Denmark St
Baldwin, MI 49304-7500 - Phone
- (231) 745-4648
- NPI assigned
- Sep 26, 2018
- 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 |
|---|---|---|---|
| 5202008422 | MI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5202008422 | MI | Yes |
Addresses
Primary practice location
600 Denmark St
Baldwin, MI 49304-7500
Mailing address
6159 E 22 Mile Rd
Sand Lake, MI 49343-9636
Phone (616) 885-8720
Other providers in Baldwin, MI
All providers in Baldwin, MI · Occupational Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. 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.