Provider Demographics
NPI:1972347912
Name:WALSH, ALISON LEIGH (OTR/L)
Entity type:Individual
Prefix:MS
First Name:ALISON
Middle Name:LEIGH
Last Name:WALSH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4782 SILVER OAK LN
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29449-6243
Mailing Address - Country:US
Mailing Address - Phone:803-629-6635
Mailing Address - Fax:
Practice Address - Street 1:2052 RIVER RD STE E
Practice Address - Street 2:
Practice Address - City:JOHNS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-9043
Practice Address - Country:US
Practice Address - Phone:843-900-6202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7230225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation