Individual
BEVERLY LEVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 E REUNION ST, FAIRFIELD, TX 75840-1634
(903) 389-4121
Mailing address
205 S 11TH AVE, TEAGUE, TX 75860-1909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208069
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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