Alysson Goodwin, Otr/L

LBN: Alysson Goodwin, Otr/L
Alysson Goodwin, Otr/L is an health care organization with primary practice located at 1090 Johnnie Dodds Blvd Ste C , Mount Pleasant SC 29464-6108. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as the primary health care specialty. Alysson Goodwin, Otr/L can be contacted via phone (843) 284-6278, or through Goodwin, Alysson via phone (318) 792-1696.

Contact Information

Primary practice address
1090 Johnnie Dodds Blvd Ste C Mount Pleasant SC 29464-6108
Phone: (843) 284-6278
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goodwin, Alysson OTR/L
Phone: (318) 792-1696

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1669025847
LBN Legal business name Alysson Goodwin, Otr/L
DBA Doing business as
Authorized official Goodwin, Alysson OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2019
Last updated Jul 17th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669025847 NPPES
South Carolina MEDICAID W53062SC1

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