Individual
ALYSIA BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
453 KING ST, COCOA, FL 32922-7621
(321) 633-5511
Mailing address
453 KING ST, COCOA, FL 32922-7621
(321) 633-5511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA 13355
FL
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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