Provider Demographics
NPI:1194157024
Name:ASHER, JUNE CAROL (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:CAROL
Last Name:ASHER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 PHYSICIANS DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:SUPPLY
Mailing Address - State:NC
Mailing Address - Zip Code:28462-4215
Mailing Address - Country:US
Mailing Address - Phone:910-755-5437
Mailing Address - Fax:
Practice Address - Street 1:58 PHYSICIANS DR
Practice Address - Street 2:SUITE 106
Practice Address - City:SUPPLY
Practice Address - State:NC
Practice Address - Zip Code:28462-4215
Practice Address - Country:US
Practice Address - Phone:910-755-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8490224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC$$$$$$$$$Medicaid