Individual
ANGELA GAIL BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 ASHTON DR, GOOSE CREEK, SC 29445-6626
(843) 708-0859
(843) 821-6579
Mailing address
102 ASHTON DR, GOOSE CREEK, SC 29445-6626
(843) 708-0859
(843) 821-6579
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2206
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1468
—
SC
Enumeration date
01/24/2007
Last updated
07/08/2007
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