Individual
BEAU BIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
151 N SUNRISE AVE, SUITE 1105, ROSEVILLE, CA 95661-2924
(916) 771-8255
(916) 771-8211
Mailing address
151 N SUNRISE AVE, SUITE 1105, ROSEVILLE, CA 95661-2924
(916) 771-8255
(916) 771-8211
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
11994
CA
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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