IndividualActive
Andrea Thoreson, COTA/L
NPI 1124675830 · Occupational Therapy Assistant · Fountain Inn, SC
Provider details
- NPI number
- 1124675830
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 3732 (SC)
Practice location
204 Shady Pines Ct
Fountain Inn, SC 29644-9785
Phone: (864) 408-9509
Fax: (864) 335-9036
Mailing address
Po Box 1312
Fountain Inn, SC 29644-1054
Registry dates
- Enumerated
- 2019-08-19
- Last updated
- 2019-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.