IndividualActive
Alexis Dubose
NPI 1679395487 · Occupational Therapist · Moncks Corner, SC
Provider details
- NPI number
- 1679395487
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 7405 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
421 Barony St Ste 3
Moncks Corner, SC 29461-3145
Phone: (843) 790-4093
Approximate (ZIP-level) locationGet directions
Mailing address
174 Kitfield Rd
Moncks Corner, SC 29461-4209
Registry dates
- Enumerated
- 2024-10-31
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.