IndividualActive
Allycyn Boudreau, MOT, OTR/L
NPI 1184504557 · Occupational Therapist · Mount Pleasant, SC
Provider details
- NPI number
- 1184504557
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT, OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 21777 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1127 Queensborough Blvd Ste 104
Mount Pleasant, SC 29464-5431
Phone: (843) 216-0299
Approximate (ZIP-level) locationGet directions
Mailing address
1127 Queensborough Blvd Ste 104
Mount Pleasant, SC 29464-5431
Registry dates
- Enumerated
- 2025-09-05
- Last updated
- 2026-01-02
- Certified
- 2026-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.