IndividualActive
Avery Clontz
NPI 1689566515 · Occupational Therapy Assistant · Charleston, SC
Provider details
- NPI number
- 1689566515
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5809 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1563 Sam Rittenberg Blvd
Charleston, SC 29407-4248
Phone: (843) 277-2411
Approximate (ZIP-level) locationGet directions
Mailing address
1563 Sam Rittenberg Blvd
Charleston, SC 29407-4248
Registry dates
- Enumerated
- 2025-07-16
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.