Individual
ALYSSA WISHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTDR/L
Contact information
Practice address
1127 QUEENSBOROUGH BLVD STE 104, MT PLEASANT, SC 29464-5431
(843) 216-0290
Mailing address
236 ISLAND GREEN RD, GOOSE CREEK, SC 29445-7333
(704) 682-8519
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6862
SC
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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