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Individual

MS. BEVERLY D JONAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MHS, OTR/L

Contact information

Practice address
1 RAIDER LN, SPECIAL EDUCATION DEPT., HORSEHEADS, NY 14845-2344
(607) 739-5601
Mailing address
8455 COUNTY ROUTE 125, GST BOCES ITINERANT AND RELATED SERVICES, CAMPBELL, NY 14821-9518
(607) 776-6788

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005142-1
NY

Other

Enumeration date
01/25/2011
Last updated
01/25/2011
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