Individual
TAYLOR M BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9320 AVALON CIR, CENTERVILLE, OH 45458-4989
(937) 885-5426
Mailing address
1872 CHIMNEY LN, KETTERING, OH 45440-4160
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007796
OH
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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