Individual
KELLY BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 SARAH ST, CHARLESTON, SC 29407-6219
(843) 571-4889
Mailing address
507 SARAH ST, CHARLESTON, SC 29407-6219
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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