Provider Demographics
NPI:1528757358
Name:BLOCK, ASHLEY MARIE (OTR/L, CSRS, CBIS)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARIE
Last Name:BLOCK
Suffix:
Gender:F
Credentials:OTR/L, CSRS, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 240252
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99524-0252
Mailing Address - Country:US
Mailing Address - Phone:907-917-0818
Mailing Address - Fax:907-339-4858
Practice Address - Street 1:3004 REDWOOD ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4212
Practice Address - Country:US
Practice Address - Phone:907-917-0818
Practice Address - Fax:907-339-4858
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK139373225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist