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Vivian Orlynne Beauchamp, P.T.

Physical Therapist in Anderson, SC. Individual provider (NPI-1).

NPI number1104004944
StatusActive
Last updated in NPPESFeb 4, 2008

Details

NPI
1104004944
Entity type
Individual (NPI-1)
Name
Vivian Orlynne Beauchamp
Credential
P.T.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 4, 2008
Last updated
Feb 4, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1986SCYes

Practice location

800 N Fant St
Anderson, SC 29621-5708

Phone 864-512-1196

Mailing address

800 N Fant St
Anderson, SC 29621-5708

Phone 864-512-1196

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