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Individual

HEATHER BEARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1351 S ELM ST, KEMP, TX 75143-7713
(903) 498-8073
Mailing address
4269 SMOTHERS RD, MALAKOFF, TX 75148-4366
(903) 288-5702

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214344
TX

Other

Enumeration date
08/17/2018
Last updated
08/17/2018
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