Individual
ALYSSA JACOBS-BEAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 MAIN ST, CLAYTON, DE 19938-7716
(302) 653-2803
Mailing address
115 LINSTONE AVE, NEW CASTLE, DE 19720-2026
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001911
DE
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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