Individual
EMILY BEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1647 TIMBER CIRCLE, MCCALL, ID 83638
(585) 750-9646
Mailing address
PO BOX 902, MCCALL, ID 83638-0902
(585) 750-9646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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