IndividualActive
Amanda Beacham, OTR/L
NPI 1013558568 · Gerontology Occupational Therapist · Charleston, SC
Provider details
- NPI number
- 1013558568
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 5661 (SC)
Practice location
45 Sycamore Ave Apt 917
Charleston, SC 29407-6729
Phone: (843) 900-6202
Fax: (843) 574-8858
Mailing address
3575d Maybank Hwy # 235
Johns Island, SC 29455-4823
Registry dates
- Enumerated
- 2019-10-07
- Last updated
- 2020-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.