Individual
ALYSSA K. LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 S-37-349, SENECA, SC 29672
(864) 885-7675
Mailing address
101 S-37-349, SENECA, SC 29672
(864) 885-7675
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10024
NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY
NC
01
—
4691
SC BOARD OF OCCUPATIONAL THERAPY
SC
Enumeration date
10/21/2015
Last updated
04/05/2016
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