Provider Demographics
NPI:1609450378
Name:ROBBINS, ASHLEY (LOTR)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42528 BREEZE CT
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-8588
Mailing Address - Country:US
Mailing Address - Phone:225-270-5504
Mailing Address - Fax:
Practice Address - Street 1:3113 VALLEY CREEK DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-3147
Practice Address - Country:US
Practice Address - Phone:225-421-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.200102225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist