Provider Demographics
NPI:1669771119
Name:JUAT, ASHLEY ANNE (MOT, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ANNE
Last Name:JUAT
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 STONE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5209
Mailing Address - Country:US
Mailing Address - Phone:207-582-8400
Mailing Address - Fax:207-230-6701
Practice Address - Street 1:24 STONE ST STE 101
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5209
Practice Address - Country:US
Practice Address - Phone:207-582-8400
Practice Address - Fax:207-230-6701
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10375225XP0200X
AZ4763225XP0200X
ME2879225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics