Provider Demographics
NPI:1962598375
Name:SIMRIL, EMILY RIDLEHOOVER (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:RIDLEHOOVER
Last Name:SIMRIL
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 1:211 LITTLE POND DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5481
Mailing Address - Country:US
Mailing Address - Phone:803-553-1433
Mailing Address - Fax:
Practice Address - Street 1:211 LITTLE POND DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5481
Practice Address - Country:US
Practice Address - Phone:803-553-1433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2790225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist