Amanda Prester Beacham
Occupational Therapist - Gerontology
45 Sycamore Ave Apt 917
Charleston
, South Carolina 29407-6729
Amanda Prester Beacham
Occupational Therapist - Gerontology
45 Sycamore Ave Apt 917
Charleston
, South Carolina 29407-6729
(843) 574-8858
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Amanda Prester Beacham
- 3575d Maybank Hwy # 235
- Johns Island, SC
- Zip : 29455-4823
- Fax : (843) 574-8858
- Phone : (843) 900-6202
Second Address
- Amanda Prester Beacham
- 45 Sycamore Ave Apt 917
- Charleston, SC
- Zip : 29407-6729
- Fax : (843) 574-8858
- Phone : (843) 900-6202
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 5661 | SC |
National Provider Identifier
| NPI | 1013558568 |
|---|---|
| Provider Name | Amanda Prester Beacham |
| First Address | Johns Island, SC 29455-4823 |
| Second Address | Charleston, SC 29407-6729 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/10/2019 |
| Last Update Date | 06/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.