Individual
ALYSSA SPEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
204 SHADY PINES CT, FOUNTAIN INN, SC 29644-9785
(864) 399-9785
Mailing address
104 SEVEN OAKS DR, SENECA, SC 29678-6034
(678) 787-4669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5830
SC
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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