Whalio Doctors

NPI 1013558568

Amanda Prester Beacham, OTRL

Practitioner Gerontology Occupational Therapist Charleston, SC

Practice location

Address
45 Sycamore Ave APT 917, Charleston, SC 29407-6729
Phone
(843) 900-6202
Fax
(843) 574-8858
Mailing address
3575d Maybank Hwy # 235, Johns Island, SC 29455-4823

Registered specialties

Gerontology Occupational Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XG0600X Licence 5661 (SC)

Registry record

NPI
1013558568
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Oct 2019
Record last updated
6 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.