Wooten, Ashlee Brooke

Wooten, Ashlee Brooke is an individual health care provider with primary practice located at 113 Lakeview Dr , Charleston WV 25313-1467. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wooten, Ashlee Brooke can be contacted via phone (304) 342-9515.

Contact Information

Primary practice address
113 Lakeview Dr Charleston WV 25313-1467
Phone: (304) 342-9515
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1377 West Virginia

Profile Details

NPI number 1265693469
LBN Legal business name Wooten, Ashlee Brooke
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Oct 12th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265693469 NPPES
West Virginia MEDICAID 3810012739

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