Provider Demographics
NPI:1073253258
Name:MCNEIL, ASHLEY R (COTA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:R
Last Name:MCNEIL
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 SPRING HILL DR UNIT 214
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-4391
Mailing Address - Country:US
Mailing Address - Phone:352-345-7086
Mailing Address - Fax:
Practice Address - Street 1:7400 SPRING HILL DR UNIT 214
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-4391
Practice Address - Country:US
Practice Address - Phone:352-345-7086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA17221224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant