Individual
MRS. ALYSSON MILLER GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29 RACE ST, CHARLESTON, SC 29403-4634
(318) 792-1696
Mailing address
29 RACE ST, CHARLESTON, SC 29403-4634
(318) 792-1696
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3904
SC
Other
Enumeration date
04/16/2012
Last updated
04/07/2014
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