Individual
MARY ELIZABETH BEIRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
721 WAPPOO RD, CHARLESTON, SC 29407-5861
(843) 402-7850
Mailing address
PO BOX 80426, CHARLESTON, SC 29416-0426
(912) 977-8453
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003508
GA
Other
Enumeration date
09/08/2015
Last updated
07/17/2020
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