Individual
KATELYN BEUKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
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
(616) 970-0709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4291
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144675901
—
SC
Enumeration date
06/21/2016
Last updated
07/20/2016
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