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Individual
KATHRYN BEAUVAIS
Active
Individual
KATHRYN BEAUVAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010284-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02715979
—
NY
01
—
DD2890
MEDICARE
NY
01
—
P00072789
RR MEDICARE
NY
Enumeration date
11/17/2005
Last updated
01/24/2018
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