Individual
GAIL PATRICIA BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
N4029 MAJESTIC CIR, CAMBRIDGE, WI 53523-9799
(608) 423-4232
Mailing address
N4029 MAJESTIC CIRCLE, CAMBRIDGE, WI 53538
(608) 423-4232
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1765-027
WI
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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