Individual provider · Type 1 NPI
Jill Kelley Beasenburg, PT
Pediatric Physical Therapist · Awendaw, SC
Practice location
856 Grannys Ln
Awendaw, SC 29429-6060
Fax (843) 388-4498
Mailing address
636 Long Point Rd Unit G
Mount Pleasant, SC 29464-8286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 4236 (SC) |
Pediatric Physical Therapist: 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 th…
Another provider at this address
About NPI 1871543033
Jill Kelley Beasenburg, PT's National Provider Identifier is 1871543033, issued on May 10, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Awendaw, SC. The record was last updated on May 3, 2019.