Provider Demographics
NPI:1043856453
Name:FRANKLIN-SMITH, ASHNI SHANTAL (OT)
Entity Type:Individual
Prefix:
First Name:ASHNI
Middle Name:SHANTAL
Last Name:FRANKLIN-SMITH
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 NW 108TH AVE
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-1861
Mailing Address - Country:US
Mailing Address - Phone:954-873-8404
Mailing Address - Fax:
Practice Address - Street 1:1840 W 49TH ST STE 515
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2950
Practice Address - Country:US
Practice Address - Phone:305-231-3300
Practice Address - Fax:305-231-1321
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT20461225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty