Individual
MRS. SARAH BETH BEVERAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
219 N ELMER ST, GRIFFITH, IN 46319-2740
(219) 924-9126
Mailing address
219 N ELMER AVE, GRIFFITH, IN 46319
(219) 924-9126
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000985A
IN
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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