Individual provider · Type 1 NPI

Alissa Vidovich, OTR/L

Occupational Therapist · Myrtle Beach, SC

NPI number 1972051217 Active

Practice location

101 Brightwater Dr
Myrtle Beach, SC 29579-8275

Call (843) 236-3579 Map

Mailing address

649 Swinford Dr
Myrtle Beach, SC 29588-4645

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X4794 (SC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1972051217

Alissa Vidovich, OTR/L's National Provider Identifier is 1972051217, issued on Sep 15, 2016. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Sep 15, 2016.