| NPI | 1144633876 |
|---|---|
| Former Name | ASHLEY DICKERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 290114) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT2596) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |