IndividualActive
Alissa Vidovich, OTR/L
NPI 1972051217 · Occupational Therapist · Myrtle Beach, SC
Provider details
- NPI number
- 1972051217
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 4794 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Phone: (843) 236-3579
Approximate (ZIP-level) locationGet directions
Mailing address
649 Swinford Dr
Myrtle Beach, SC 29588-4645
Registry dates
- Enumerated
- 2016-09-15
- Last updated
- 2016-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.