Individual
MS. REGINA WENSIL BEAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-4310
Mailing address
4100 HILTON LAKE RD, KANNAPOLIS, NC 28083-9643
(704) 932-7785
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0630
NC
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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