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

AUDREY WILSON- ALSTON, OTA

Active

AUDREY WILSON- ALSTON, OTA is a Occupational Therapy Assistant healthcare provider located in IRMO, South Carolina. NPI 1891412045 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · IRMO, SC

Registration Details

NPI Number
1891412045
Provider Type
Individual
Gender
Female
NPI Issued
Oct 27, 2022 (3.7581325286795 yrs)
Last Updated
Oct 27, 2022
License
476 (SC)

Practice Information

Address
506 BROOKSONG CT
IRMO, SC, 290636100
Browse SC providers · Browse ZIP 29063
Phone
8032006328
Primary Specialty
Occupational Therapy Assistant
224Z00000X
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.