Provider Demographics
NPI:1013513829
Name:PIERRE, ADELINE C (DHA, OTR/L, CDT, MLD)
Entity type:Individual
Prefix:DR
First Name:ADELINE
Middle Name:C
Last Name:PIERRE
Suffix:
Gender:F
Credentials:DHA, OTR/L, CDT, MLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 GALIANO ST
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1231
Mailing Address - Country:US
Mailing Address - Phone:754-245-2212
Mailing Address - Fax:
Practice Address - Street 1:134 GALIANO ST
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1231
Practice Address - Country:US
Practice Address - Phone:754-245-2212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-07
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT14643225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist