Provider Demographics
NPI:1548667827
Name:CONJESKI, ASHLEY (OT)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:CONJESKI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3109 UNIVERSITY AVE
Mailing Address - Street 2:SELLARO PLAZA
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3205
Mailing Address - Country:US
Mailing Address - Phone:304-241-4020
Mailing Address - Fax:304-241-4029
Practice Address - Street 1:625 LINCOLN AVE
Practice Address - Street 2:SUITE209
Practice Address - City:N CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022-2451
Practice Address - Country:US
Practice Address - Phone:724-483-3610
Practice Address - Fax:724-483-0290
Is Sole Proprietor?:No
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1591225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist