Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ASHLEY FOUNTAIN
ActiveASHLEY FOUNTAIN is a Occupational Therapist healthcare provider located in HOMER, Georgia. NPI 1104122977 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · HOMER, GA
Registration Details
- NPI Number
- 1104122977
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2011 (15.547413514374 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
OT005179 (GA)OT009376 (OH)
Practice Information
- Address
-
425 GARDINER RDHOMER, GA, 305473006Browse GA providers · Browse ZIP 30547
- Phone
- 7066587656
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in HOMER, GA
| Name | Credential | NPI |
|---|---|---|
| GENNA GRACE LANGFORD | OTR | 1366228413 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.