Individual
JOLI BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1410 DR MARTIN LUTHER KING JR ST. NORTH, SAFETY HARBOR, FL 34695
(727) 726-1181
Mailing address
2130 BANCROFT PL APT A, PALM HARBOR, FL 34683-2402
(917) 597-7071
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15527
FL
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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