Provider Demographics
NPI:1467665844
Name:SOLFEST, ASHLEY ANN (COTA)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ANN
Last Name:SOLFEST
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:ANN
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:2448 SOUTH 102ND ST.
Mailing Address - Street 2:SUITE 340
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53227-2141
Mailing Address - Country:US
Mailing Address - Phone:800-877-7018
Mailing Address - Fax:414-329-2501
Practice Address - Street 1:660 EAST BIRCH AVE.
Practice Address - Street 2:
Practice Address - City:BARRON
Practice Address - State:WI
Practice Address - Zip Code:54812
Practice Address - Country:US
Practice Address - Phone:715-537-5643
Practice Address - Fax:715-537-1651
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1994-027224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant