Basic Information
Provider Information
NPI: 1528329786
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRABIK
FirstName: ASHLEY
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: M.S. OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2728 BLUEBILL DR
Address2:  
City: VIRGINIA BEACH
State: VA
PostalCode: 234564503
CountryCode: US
TelephoneNumber: 4127808381
FaxNumber:  
Practice Location
Address1: 5301 PROVIDENCE RD
Address2: SUITE 80
City: VIRGINIA BEACH
State: VA
PostalCode: 234644128
CountryCode: US
TelephoneNumber: 7574674604
FaxNumber: 7574672716
Other Information
ProviderEnumerationDate: 06/05/2012
LastUpdateDate: 08/24/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOC012311PAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 
225X00000X0119006661VAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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