Provider Demographics
NPI:1649747346
Name:BECKER, ASHLIN (OTR/L)
Entity Type:Individual
Prefix:
First Name:ASHLIN
Middle Name:
Last Name:BECKER
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 1:2526 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LAWN
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1913
Mailing Address - Country:US
Mailing Address - Phone:717-321-5601
Mailing Address - Fax:
Practice Address - Street 1:7 W PARK AVE
Practice Address - Street 2:
Practice Address - City:MYERSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17067-1340
Practice Address - Country:US
Practice Address - Phone:717-628-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist