Individual
KATHLEEN M BEALS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
219 GERALD DR, SIMPSONVILLE, SC 29681-4111
(864) 567-1129
(864) 335-8514
Mailing address
102 AUTUMNWOOD WAY, SIMPSONVILLE, SC 29681-4464
(864) 228-2646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2029
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0998
—
SC
Enumeration date
04/13/2006
Last updated
07/08/2007
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