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1497430805
ALYSSA WISHALL
MT PLEASANT, SC
NPI
1497430805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 6862)
Enumeration Date
2023-06-21
Last Update Date
2023-06-21
Business Address
ALYSSA WISHALL OTDR/L
1127 QUEENSBOROUGH BLVD STE 104
MT PLEASANT, SC 29464-5431
Phone number: 843-216-0290
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Mailing Address
ALYSSA WISHALL OTDR/L
236 ISLAND GREEN RD
GOOSE CREEK, SC 29445-7333
Phone number: 704-682-8519
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