Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATIE PRUIKSMA, COTA/L
Active Sole ProprietorKATIE PRUIKSMA, COTA/L is a Occupational Therapy Assistant healthcare provider located in MOORE, South Carolina. NPI 1619420114 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MOORE, SC
Registration Details
- NPI Number
- 1619420114
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2016 (10.030804413808 yrs)
- Last Updated
- Aug 1, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
511 SIERRA RIDGE CTMOORE, SC, 293699383Browse SC providers · Browse ZIP 29369
- Phone
- 8645611002
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in MOORE, SC
| Name | Credential | NPI |
|---|---|---|
| MARK EGAN | COTA/L | 1720437445 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.