Provider Demographics
NPI:1568854453
Name:SEIBERT, ASHLEY ANN STEVENS (OTR/L)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ANN STEVENS
Last Name:SEIBERT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9431 NUGGET HILL RD
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-9790
Mailing Address - Country:US
Mailing Address - Phone:828-403-2759
Mailing Address - Fax:
Practice Address - Street 1:2110 BEN CRAIG DR
Practice Address - Street 2:SUITE 300
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262
Practice Address - Country:US
Practice Address - Phone:704-595-9363
Practice Address - Fax:704-595-9365
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-02
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9639225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics