Individual
BETH M. TESHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 NORTH MAPLE STREET, SUITE 10, SIMPSONVILLE, SC 29681
(864) 757-9846
Mailing address
108 COURTNEYBROOK TRL, MAULDIN, SC 29662-3003
(864) 288-9161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1934
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0186
—
SC
Enumeration date
02/11/2008
Last updated
02/11/2008
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