IndividualActive
Audrey Wilson- Alston, OTA
NPI 1891412045 · Occupational Therapy Assistant · Irmo, SC
Provider details
- NPI number
- 1891412045
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA
- Sex
- Female
- Sole proprietor
- No
- License
- 476 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
506 Brooksong Ct
Irmo, SC 29063-6100
Phone: (803) 200-6328
Approximate (ZIP-level) locationGet directions
Mailing address
506 Brooksong Ct
Irmo, SC 29063-6100
Registry dates
- Enumerated
- 2022-10-27
- Last updated
- 2022-10-27
- Certified
- 2022-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.