Provider Demographics
NPI:1366330565
Name:HILL, KRISTEN ANITA OLLISON (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:ANITA OLLISON
Last Name:HILL
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:KRISTEN
Other - Middle Name:ANITA
Other - Last Name:OLLISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6069
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29171-6069
Mailing Address - Country:US
Mailing Address - Phone:803-926-6810
Mailing Address - Fax:803-926-6811
Practice Address - Street 1:3799 12TH STREET EXT STE 100
Practice Address - Street 2:
Practice Address - City:CAYCE
Practice Address - State:SC
Practice Address - Zip Code:29033-3750
Practice Address - Country:US
Practice Address - Phone:803-926-6810
Practice Address - Fax:803-926-6811
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7580225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist