Provider Demographics
NPI:1679691182
Name:MONTGOMERY, ASHLEY LOUISE
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LOUISE
Last Name:MONTGOMERY
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ASHLEY
Other - Middle Name:LOUISE
Other - Last Name:CLIPPINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1341 WILLOW CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT JOY
Mailing Address - State:PA
Mailing Address - Zip Code:17552-7232
Mailing Address - Country:US
Mailing Address - Phone:717-319-4921
Mailing Address - Fax:
Practice Address - Street 1:1380 ELM AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-4642
Practice Address - Country:US
Practice Address - Phone:717-391-6430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009591225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist