Individual
SHANNAN BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
25 W PLEASANT ST, SPRINGFIELD, OH 45506-2278
(937) 325-7671
(937) 325-9915
Mailing address
25 W PLEASANT ST, SPRINGFIELD, OH 45506-2278
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-3208
OH
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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