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Mrs. Jill Kelley Beasenburg, PT
Pediatric Physical Therapist in Awendaw, South Carolina
NPI 1871543033

Jill Kelley Beasenburg is a Pediatric Physical Therapist based in Mt Pleasant, SC and is specialized in Pediatrics. Jill Kelley Beasenburg practices in Awendaw, SC and has the professional credentials of PT. The NPI Number for Jill Kelley Beasenburg is 1871543033 and holds a License No. 4236 (South Carolina).

The current practice location address for Jill Kelley Beasenburg is 856 Grannys Ln, Awendaw, SC and can be reached out via phone at 843-259-4633 and via fax at 843-388-4498.

Location: 856 Grannys Ln, Awendaw, SC, 29464-8286
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Provider Profile Details
NPI Number
1871543033
Provider Name
Jill Kelley Beasenburg
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
856 Grannys Ln, Awendaw, SC, 29464-8286
Phone Number
843-259-4633
Fax Number
843-388-4498
Provider Enumeration Date
05/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TH1534 05 SC
institution
Provider Business Practice Location Address Details
Address
856 Grannys Ln
City
State
Zip
29429-6060
Phone Number
843-259-4633
Fax Number
843-388-4498
person
Provider Business Mailing Address Details
Address
856 Grannys Ln
City
State
Zip
29429-6060
Phone Number
843-259-4633
Fax Number
843-388-4498
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
License No.
4236 (South Carolina)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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