Healthcare Provider Details

I. General information

NPI: 1477417236
Provider Name (Legal Business Name): ASHLEY REMENSNYDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1563 SAM RITTENBERG BLVD
CHARLESTON SC
29407-4248
US

IV. Provider business mailing address

4447 OAKWOOD AVE
NORTH CHARLESTON SC
29405-5049
US

V. Phone/Fax

Practice location:
  • Phone: 843-277-2411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number7864
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: