Individual
MR. MARJORIE C BEASLEY SR.
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
650 JOEL DR., BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 798-8372
(270) 956-0180
Mailing address
650 JOEL DR., BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 798-8372
(270) 956-0180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT0000000773
TN
225X00000X
Occupational Therapist
Primary
RO976
KY
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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