Individual
BEVERLEE TYLER FORSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
615 SMITH RD, DANVILLE, PA 17821-6853
(570) 437-2933
Mailing address
615 SMITH RD, DANVILLE, PA 17821-6853
(570) 437-2933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006239L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC006239L
PA LICENSE
PA
Enumeration date
04/03/2007
Last updated
07/08/2007
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