Pettaway, Ashley
Pettaway, Ashley is an sole proprietor health care provider with primary practice located at 1050 Regal Pointe Ter Apt 206, Lake Mary FL 32746-2028. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Pettaway, Ashley can be contacted via phone (267) 980-4556.Contact Information
Primary practice address
1050 Regal Pointe Ter Apt 206
Lake Mary FL 32746-2028
Phone: (267) 980-4556
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1962878694 |
|---|---|
| LBN Legal business name | Pettaway, Ashley |
| Credentials | M.S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2015 |
| Last updated | Jan 16th, 2022 - about 4 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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