Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JILL KELLEY BEASENBURG, PT
ActiveMRS. JILL KELLEY BEASENBURG, PT is a Pediatric Occupational Therapy healthcare provider located in AWENDAW, South Carolina. NPI 1871543033 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · AWENDAW, SC
Registration Details
- NPI Number
- 1871543033
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2006 (20.237562694539 yrs)
- Last Updated
- May 3, 2019
- License
-
4236 (SC)
Practice Information
- Address
-
856 GRANNYS LNAWENDAW, SC, 294296060Browse SC providers · Browse ZIP 29429
- Phone
- 8432594633
- Fax
- 8433884498
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.