Provider Demographics
NPI:1659608602
Name:ALLEN, ASHLEY J (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:J
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:MRS
Other - First Name:ASHLEY
Other - Middle Name:J
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:9160 BELVOIR WOODS PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-2703
Mailing Address - Country:US
Mailing Address - Phone:703-781-2457
Mailing Address - Fax:
Practice Address - Street 1:9160 BELVOIR WOODS PKWY
Practice Address - Street 2:
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-2703
Practice Address - Country:US
Practice Address - Phone:703-781-2457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06237225XP0019X
VA0119006138225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation