Provider Demographics
NPI:1861229775
Name:STROCK, ASHLYNN (COTA)
Entity type:Individual
Prefix:MISS
First Name:ASHLYNN
Middle Name:
Last Name:STROCK
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2907 SCARLETT DR
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-8105
Mailing Address - Country:US
Mailing Address - Phone:608-963-5048
Mailing Address - Fax:
Practice Address - Street 1:2907 SCARLETT DR
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-8105
Practice Address - Country:US
Practice Address - Phone:608-963-5048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation