Provider Demographics
NPI:1841765401
Name:LIGON, EMILY ALISON (COTA/L)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ALISON
Last Name:LIGON
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ALISON
Other - Last Name:HUNTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:11227 MCFALLS DR
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29707-8668
Mailing Address - Country:US
Mailing Address - Phone:803-577-3888
Mailing Address - Fax:
Practice Address - Street 1:111 WELLMORE DR
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-0124
Practice Address - Country:US
Practice Address - Phone:803-835-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-10
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16626224Z00000X
SC5092224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant