Organization
LOWCOUNTRY THERAPEUTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN MARY BEUKER OTR/L (OCCUPATIONAL THERAPIST)
(616) 970-0709
Entity
Organization
Contact information
Practice address
1622 WRECKLERS RACE LN, CHARLESTON, SC 29414-7920
(616) 970-0709
Mailing address
1622 WRECKLERS RACE LN, CHARLESTON, SC 29414-7920
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4291
SC
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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