Nichole Ashley Cobb, OTR/L
Individual provider Active NPI Occupational Therapist · Laurens, SC
NPI 1992464754 · NPPES record last updated Dec 9, 2021
Key facts
- NPI
- 1992464754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2918 (SC)
- Practice address
- 379 Pinehaven Street Ext
Laurens, SC 29360-2672 - Phone
- (864) 984-6584
- NPI assigned
- Dec 9, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2918 | SC | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2918 | SC | Yes |
Addresses
Primary practice location
379 Pinehaven Street Ext
Laurens, SC 29360-2672
Mailing address
379 Pinehaven Street Ext
Laurens, SC 29360-2672
Phone (864) 984-6584
Other providers in Laurens, SC
- Cecil Y Brown M.D., P.a.
- William Franklin Childers
- Hannah Suzanne Childress
- Elsie Cicone
- Sandra Clayton
- Stephanie Lynn Cockrell
- Jackie Coggins
- Confident Smiles of Laurens
- Antoinette Conway
- Rodney Nicholas Cost Jr.
All providers in Laurens, SC · Occupational Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.