Provider Demographics
NPI:1306254362
Name:DRUM, ASHLEY EDITH (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:EDITH
Last Name:DRUM
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:EDITH
Other - Last Name:ZEHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:7055 OLD BERWICK RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17815-8673
Mailing Address - Country:US
Mailing Address - Phone:315-767-8522
Mailing Address - Fax:
Practice Address - Street 1:7055 OLD BERWICK RD
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-8673
Practice Address - Country:US
Practice Address - Phone:315-767-8522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC018406225X00000X
NY225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist