Individual
JENNIFER BEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 E 56TH ST, INDIANAPOLIS, IN 46220-3134
(503) 330-3953
Mailing address
622 E 56TH ST, INDIANAPOLIS, IN 46220-3134
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
280511
OR
224Z00000X
Occupational Therapy Assistant
Primary
32002592A
IN
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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