Individual
ALYSSA PHEASANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
515 ROBERT DANIEL DR APT 2217, DANIEL ISLAND, SC 29492-7338
(814) 505-8654
Mailing address
515 ROBERT DANIEL DR APT 2217, DANIEL ISLAND, SC 29492-7338
(814) 505-8654
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT03341
SC
Other
Enumeration date
08/30/2018
Last updated
11/21/2022
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