Provider Demographics
NPI:1275886970
Name:PIERCE, NATALIE L (OTR/L)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:L
Last Name:PIERCE
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 1:114 N HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MS
Mailing Address - Zip Code:39730-2648
Mailing Address - Country:US
Mailing Address - Phone:662-295-6828
Mailing Address - Fax:662-369-9781
Practice Address - Street 1:114 N HICKORY ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:MS
Practice Address - Zip Code:39730-2648
Practice Address - Country:US
Practice Address - Phone:662-295-6828
Practice Address - Fax:662-369-9781
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSOT2263225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist