Individual
MRS. MICHELLE LEE PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
14354 WILLIAMSBURG DR, GULFPORT, MS 39503-3418
(228) 324-6589
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA1110
MS
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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