Individual
AMANDA L BEEKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTRL
Contact information
Practice address
MUSTANG RD ONE MILE NORTH OF HWY 264, ST MICHAELS, AZ 86511-0100
(928) 871-2822
(928) 871-2837
Mailing address
PO BOX 4235, GALLUP, NM 87305-4235
(505) 870-6990
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3314
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
921264
—
AZ
Enumeration date
05/02/2007
Last updated
07/08/2007
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