Provider Demographics
NPI:1316330475
Name:PIERCE, ASHLEY (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 RED CEDAR ST STE 9
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-8967
Mailing Address - Country:US
Mailing Address - Phone:843-815-6999
Mailing Address - Fax:843-915-6998
Practice Address - Street 1:1873 N PARIS AVE
Practice Address - Street 2:
Practice Address - City:PORT ROYAL
Practice Address - State:SC
Practice Address - Zip Code:29935
Practice Address - Country:US
Practice Address - Phone:843-815-6999
Practice Address - Fax:843-815-6998
Is Sole Proprietor?:No
Enumeration Date:2015-03-13
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9656225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist