IndividualActive
Ardianne Mack, COTA/L
NPI 1306280870 · Occupational Therapy Assistant · Florence, SC
Provider details
- NPI number
- 1306280870
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2524 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
405 Wake Robin Ct
Florence, SC 29505-3189
Phone: (843) 678-9813
Approximate (ZIP-level) locationGet directions
Mailing address
1125 Hawkins Landing Rd
Effingham, SC 29541-3841
Registry dates
- Enumerated
- 2013-04-26
- Last updated
- 2013-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.