Individual
TIFFANY A BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2626 WESLEYAN DR, BELLEVILLE, KS 66935-2440
(785) 527-5636
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1702264
KS
Other
Enumeration date
04/11/2008
Last updated
03/10/2010
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