Provider Demographics
NPI:1689366403
Name:NEWMAN, ASHLEY LEE (OTR/L)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LEE
Last Name:NEWMAN
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:PO BOX 82
Mailing Address - Street 2:
Mailing Address - City:FREEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17827-0082
Mailing Address - Country:US
Mailing Address - Phone:570-850-7544
Mailing Address - Fax:
Practice Address - Street 1:631 MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:PA
Practice Address - Zip Code:17086-8691
Practice Address - Country:US
Practice Address - Phone:717-694-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC013168225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist