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Individual

MS. CLEMENCE DENISE BECKHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
405 S SEMINOLE AVE, MINNEOLA, FL 34715-5520
(352) 394-0212
Mailing address
733 LIBERTY AVE, MOUNT DORA, FL 32757-6075
(321) 332-2028

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OTA12166
FL
224Z00000X
Occupational Therapy Assistant
Primary

Other

Enumeration date
02/24/2012
Last updated
08/30/2017
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