NPI 1518582584

Ashton Prince, COTA

Practitioner Occupational Therapy Assistant Princeton, IL

Practice location

Address: 680 W Peru St, Princeton, IL 61356-6803
Phone: (815) 343-0572
Mailing address: 424 S Randolph St, Princeton, IL 61356-1961

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057.005421 (IL)

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Registry record

NPI: 1518582584
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2020
Record last updated: 15 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.