Individual
SHIRLEY BEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1309 LAUREL DR, HOLLY HILL, FL 32117-3811
(386) 252-8935
Mailing address
1309 LAUREL DR, HOLLY HILL, FL 32117-3811
(386) 252-8935
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA8814
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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