Individual
ALYSSE LEAH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L
Contact information
Practice address
208 JAMES ST, ANDERSON, SC 29625-2942
(803) 257-3110
Mailing address
926 CLEVELAND ST APT 7104, GREENVILLE, SC 29601-4656
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5654
SC
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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