Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alissa Vidovich, OTR/L

Individual provider Occupational Therapist · NPI 1972051217

Alissa Vidovich, OTR/L is an Occupational Therapist in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2016.

Licensed in
SC
In the registry since
2016
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

101 Brightwater Dr
Myrtle Beach, SC 29579-8275
Phone: (843) 236-3579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 4794 (SC)

Record details

NPI number1972051217
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 15, 2016
Last updated in NPPESSeptember 15, 2016

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