# LOWCOUNTRY THERAPEUTIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144675901
- **Authorized official:** KATELYN MARY BEUKER OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (616) 970-0709

## Contact information

- **Practice address:** 1622 WRECKLERS RACE LN, CHARLESTON, SC 29414-7920
- **Practice address phone:** (616) 970-0709
- **Mailing address:** 1622 WRECKLERS RACE LN, CHARLESTON, SC 29414-7920

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 4291 | SC | Yes |

## Other

- **Enumeration date:** 04/29/2016
- **Last updated:** 04/29/2016