Basic Information
| Provider Information | |||||||||
| NPI: | 1831260231 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ASHBY | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | KAY | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | OT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 475 ELMCROFT BLVD | ||||||||
| Address2: | #9306 | ||||||||
| City: | ROCKVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208505672 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2406724357 | ||||||||
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| Practice Location | |||||||||
| Address1: | 301 RUSSELL AVE | ||||||||
| Address2: | |||||||||
| City: | GAITHERSBURG | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208772805 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012164247 | ||||||||
| FaxNumber: | 3012164249 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 05754 | MD | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.