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Individual

CHRISTINA BEASLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L/COTA

Contact information

Practice address
180 BURKETTS FERRY RD, HAZLEHURST, GA 31539-7132
(912) 375-3797
Mailing address
362 BELL TELEPHONE RD, HAZLEHURST, GA 31539-4202
(912) 278-1547

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001770
GA

Other

Enumeration date
09/16/2015
Last updated
04/07/2016
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