Provider Demographics
NPI:1386017077
Name:PINKELMAN, ASHLEY (OTR)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:PINKELMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5839 E WATERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-7753
Mailing Address - Country:US
Mailing Address - Phone:970-294-2855
Mailing Address - Fax:
Practice Address - Street 1:3711 N RAVENSWOOD AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-3599
Practice Address - Country:US
Practice Address - Phone:733-828-4260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics