| Beach Pediatric Therapy Llc | |
|
405 Bear Tree Ct, Moncks Corner, SC 29461-7475 | |
| (814) 598-8434 | |
| Not Available |
| Full Name | Beach Pediatric Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 405 Bear Tree Ct, Moncks Corner, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760217814 | NPI | - | NPPES |
| 5855964011 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Cynthia Lynn Krizauskas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710350939 PECOS PAC ID: 1658807300 Enrollment ID: I20241205001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Beach Pediatric Therapy Llc 405 Bear Tree Ct, Moncks Corner, SC 29461-7475 Ph: (814) 598-8434 | Beach Pediatric Therapy Llc 405 Bear Tree Ct, Moncks Corner, SC 29461-7475 Ph: (814) 598-8434 |
Vantage Speech & Language Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 421 Barony St Suite 3, Moncks Corner, SC 29461 Phone: 843-790-4093 Fax: 843-501-2297 | |
Lori Curtis, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1553 Sterling Oaks Dr, Moncks Corner, SC 29461 Phone: 843-442-1152 Fax: 843-388-7491 | |
Rodney N. Tyler Jr., OTR/L, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 W Main St, Moncks Corner, SC 29461 Phone: 843-899-5374 | |
Alexis Dubose, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 Barony St Ste 3, Moncks Corner, SC 29461 Phone: 843-790-4093 | |
Ms. Kimberly W Dixon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 404 Blue Elderberry Run, Moncks Corner, SC 29461 Phone: 843-425-2805 | |
Jayden Olivia Weston, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 Barony Street, Unit 3, Moncks Corner, SC 29461 Phone: 843-513-4960 |