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Individual

MIA C BEVERIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
3425 AUSTIN BLUFFS PKWY STE 105, COLORADO SPRINGS, CO 80918-5723
(719) 912-2110
(719) 400-6413
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 300-1612

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0004267
CO
225XP0200X
Pediatric Occupational Therapist
OT.0004267
CO

Other

Enumeration date
02/28/2012
Last updated
10/06/2025
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