Provider Demographics
NPI:1336448828
Name:PILCH, ANDREA C (OTR/L)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:C
Last Name:PILCH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:K
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1801 OLD TROLLEY RD
Mailing Address - Street 2:STE 101
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-8283
Mailing Address - Country:US
Mailing Address - Phone:843-261-8911
Mailing Address - Fax:843-261-8912
Practice Address - Street 1:133 E 1ST NORTH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6873
Practice Address - Country:US
Practice Address - Phone:843-261-8911
Practice Address - Fax:843-261-8912
Is Sole Proprietor?:No
Enumeration Date:2011-03-23
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2217225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist