Provider Demographics
NPI:1548820491
Name:LEDWON, ASHLEY LYNN (OTR/L)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LYNN
Last Name:LEDWON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 LAURENTIAN DR
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-2760
Mailing Address - Country:US
Mailing Address - Phone:716-444-5621
Mailing Address - Fax:
Practice Address - Street 1:103 LAURENTIAN DR
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-2760
Practice Address - Country:US
Practice Address - Phone:716-444-5621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023514-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist