MRS. Jacqueline Lyn Ashlock, COTA/L

NPI #1407190895 in Youngtown, Arizona

Provider Information

NPI Number: 1407190895
Entity Type: Individual
Name: MRS. Jacqueline Lyn Ashlock, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapy Assistant
Credential: COTA/L
Enumeration Date: Nov 26, 2012
Last Updated: Nov 26, 2012

Practice Location

Address: 11527 W PEORIA AVE
City: Youngtown
State: Arizona
ZIP Code: 85363-1640
Phone: (623) 933-4683

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X	Primary

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