Provider Demographics
NPI:1609016740
Name:CLINE, ASHLEIGH LYNN (OTA/L)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:LYNN
Last Name:CLINE
Suffix:
Gender:F
Credentials:OTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 YOST FARM RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28146-6857
Mailing Address - Country:US
Mailing Address - Phone:704-223-7080
Mailing Address - Fax:
Practice Address - Street 1:310 YOST FARM RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-6857
Practice Address - Country:US
Practice Address - Phone:704-223-7080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7068224Z00000X
FL10669224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant