Individual
BEATRICE H PRECIADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
9344 E LAKESHORE DRIVE, UNIT B, PRESCOTT VALLEY, AZ 86314
(928) 273-6164
Mailing address
PO BOX 11442, PRESCOTT, AZ 86304
(928) 273-6164
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3578
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113575
AHCCCS
AZ
Enumeration date
01/18/2007
Last updated
07/08/2007
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