Individual
MRS. TIFFANY PEARIGEN BEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7601 PARKLANE RD, COLUMBIA, SC 29223-6122
(803) 741-9090
(803) 741-1914
Mailing address
1803 BELMONT DR, COLUMBIA, SC 29206-2813
(803) 738-8962
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2235
SC
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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