Provider Demographics
NPI:1669008892
Name:ASHCRAFT, JOHN SCOTT (COTA)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:SCOTT
Last Name:ASHCRAFT
Suffix:
Gender:M
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4139 LANSDOWNE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-3150
Mailing Address - Country:US
Mailing Address - Phone:513-568-3623
Mailing Address - Fax:855-232-8604
Practice Address - Street 1:4139 LANSDOWNE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-3150
Practice Address - Country:US
Practice Address - Phone:513-568-3623
Practice Address - Fax:855-232-8604
Is Sole Proprietor?:No
Enumeration Date:2020-03-19
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH006787224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant