ALISSA VIDOVICH

MYRTLE BEACH, SC
NPI1972051217
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  4794)
Enumeration Date2016-09-15
Last Update Date2016-09-15
Business Address
-- ALISSA VIDOVICH OTR/L
101 BRIGHTWATER DR
MYRTLE BEACH, SC 29579-8275
Phone number: 843-236-3579
Mailing Address
-- ALISSA VIDOVICH OTR/L
649 SWINFORD DR
MYRTLE BEACH, SC 29588-4645
Phone number: 856-332-3722
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