Provider Demographics
NPI:1164159521
Name:PINCKNEY, TEHYA (OTR/L)
Entity Type:Individual
Prefix:
First Name:TEHYA
Middle Name:
Last Name:PINCKNEY
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 1:3439 BALLPARK RD
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:SC
Mailing Address - Zip Code:29541-4241
Mailing Address - Country:US
Mailing Address - Phone:843-319-9271
Mailing Address - Fax:
Practice Address - Street 1:706 N WINDOWPANE WAY
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:SC
Practice Address - Zip Code:29334-8979
Practice Address - Country:US
Practice Address - Phone:864-310-4415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6605225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist