Individual
DEBRA A BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4080 E WINDSONG ST, SPRINGFIELD, MO 65809-3536
(270) 307-5835
Mailing address
4080 E WINDSONG ST, SPRINGFIELD, MO 65809-3536
(127) 030-7583
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2019036498
MO
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
PRIVATE INSURANCE
—
Enumeration date
04/07/2009
Last updated
02/03/2022
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