Provider Demographics
NPI:1053123190
Name:PIERCE, AMBER NOEL (OTD, OTR)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:NOEL
Last Name:PIERCE
Suffix:
Gender:F
Credentials:OTD, OTR
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:NOEL
Other - Last Name:CLUFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5220 SPRING VALLEY RD STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-1944
Mailing Address - Country:US
Mailing Address - Phone:469-291-8500
Mailing Address - Fax:
Practice Address - Street 1:930 W CENTERVILLE RD STE 930C
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-5823
Practice Address - Country:US
Practice Address - Phone:469-291-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX125293225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist