Individual
LINDA MAE BEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
100 E 33RD ST, SUITE 100, VANCOUVER, WA 98663-2776
(360) 903-7482
Mailing address
20107 NE 29TH AVE, RIDGEFIELD, WA 98642-8674
(360) 903-7482
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
584447
OR
225X00000X
Occupational Therapist
Primary
OT00002037
WA
Other
Enumeration date
11/28/2008
Last updated
11/28/2008
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