Provider Demographics
NPI:1386721827
Name:HORTON, BETH A (OT)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:A
Last Name:HORTON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 SALTERBECK CT
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-7117
Mailing Address - Country:US
Mailing Address - Phone:843-972-0671
Mailing Address - Fax:
Practice Address - Street 1:3409 SALTERBECK CT
Practice Address - Street 2:SUITE 202
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7117
Practice Address - Country:US
Practice Address - Phone:843-972-0671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC840225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist