Individual
TAMMI MAGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1441 MICHIGAN AVE, BEAUMONT, CA 92223-1728
(951) 769-2500
(951) 769-2511
Mailing address
1514 MEADOW CREST RD, BEAUMONT, CA 92223-6430
(951) 769-6226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1492
CA
311500000X
Alzheimer Center (Dementia Center)
1492
CA
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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