Individual
BROOKE BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1209 WESTOVER DR., PALATKA, FL 32177
(386) 325-2249
Mailing address
1209 WESTOVER DR., PALATKA, FL 32177
(386) 325-2249
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24313
FL
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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