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Jacqueline Lyn Ashlock, COTA/L

Occupational Therapy Assistant in Youngtown, AZ. Individual provider (NPI-1).

NPI number1407190895
StatusActive
Last updated in NPPESNov 26, 2012

Details

NPI
1407190895
Entity type
Individual (NPI-1)
Name
Mrs. Jacqueline Lyn Ashlock
Credential
COTA/L
Sex
Female
Sole proprietor
No
Enumeration date
Nov 26, 2012
Last updated
Nov 26, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant1549AZYes

Practice location

11527 W Peoria Ave
Youngtown, AZ 85363-1640

Phone 623-933-4683 · Fax 623-972-4993

Mailing address

11527 W Peoria Ave
Youngtown, AZ 85363-1640

Phone 623-933-4683 · Fax 623-972-4993

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