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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY ALEXANDRA VERISSIMO, DPT

Active Sole Proprietor

MARY ALEXANDRA VERISSIMO, DPT is a Pediatric Occupational Therapy healthcare provider located in MOUNT PLEASANT, South Carolina. NPI 1356614242 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · MOUNT PLEASANT, SC

Registration Details

NPI Number
1356614242
Provider Type
Individual
Gender
Female
NPI Issued
Feb 23, 2012 (14.440831108225 yrs)
Last Updated
Jan 6, 2025
Licenses
070018923 (IL)
8301 (SC)
070018923 (IL)
8301 (SC)
Sole Proprietor
Yes

Practice Information

Address
3510 PARK AVENUE BLVD STE 105
MOUNT PLEASANT, SC, 294667361
Browse SC providers · Browse ZIP 29466
Phone
8436074493
Primary Specialty
Pediatric Occupational Therapy
2251P0200X
Additional Specialty
Physical Therapy Assistant

Other Pediatric Occupational Therapy Providers in MOUNT PLEASANT, SC

Name Credential NPI
KELLI WHITSITT MSR, PT 1043408164
MRS. VICKI LEE PARSHALL P.T. 1669627295
MISS ELIZABETH CLAIRE CARLISLE DPT 1538489182
MRS. PRISCILLA NUGENT PT 1548659287
DR. SAHAR ALAVI DPT, PT 1265066658
ALICE MCMANUS PT 1134703457
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.