Provider Demographics
NPI:1881280527
Name:GILES, ASHLEIGH (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:GILES
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2167 RIVER TURIA CIR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-2137
Mailing Address - Country:US
Mailing Address - Phone:561-906-7896
Mailing Address - Fax:
Practice Address - Street 1:2167 RIVER TURIA CIR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-2137
Practice Address - Country:US
Practice Address - Phone:561-906-7896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT21364225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist