Provider Demographics
NPI:1164764627
Name:BROOKS, ASHLEY ARMBRUSTER (OT)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:ARMBRUSTER
Last Name:BROOKS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:MARIE
Other - Last Name:ARMBRUSTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:2061 PEACHTREE RD NE STE 500
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1446
Mailing Address - Country:US
Mailing Address - Phone:404-352-3522
Mailing Address - Fax:
Practice Address - Street 1:2061 PEACHTREE RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1447
Practice Address - Country:US
Practice Address - Phone:404-352-3522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-22
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT008093225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist