Organization
BAY AREA RESTORATIVE THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE E BEAUGE MSOTR/L (OCCUPATIONAL THERAPIST)
(813) 843-8732
Entity
Organization
Contact information
Practice address
9405 BELLHAVEN ST, TEMPLE TERRACE, FL 33637-4958
(813) 843-8732
Mailing address
PO BOX 292761, TAMPA, FL 33687-2761
(813) 843-8732
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16491
FL
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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