NPI Code Details Logo

NPI 1851209514

NPI 1851209514 : OLIVIA EILERMAN OTD, OTR/L : MT PLEASANT, SC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1851209514
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    OLIVIA EILERMAN OTD, OTR/L
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/01/2026
-----------------------------------------------------
    Last Update Date     |    09/01/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1127 QUEENSBOROUGH BLVD STE 104 
-----------------------------------------------------
    City                 |    MT PLEASANT
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29464-5431
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    859-462-4322
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    823 LEGENDS CLUB DR 
-----------------------------------------------------
    City                 |    MOUNT PLEASANT
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29466-9054
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    8058
-----------------------------------------------------
    License Number State |    SC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.