Individual
LUCY BEAUCHAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, MS, OTR/L
Contact information
Practice address
1505 S DIXIE ST, HORSE CAVE, KY 42749-1480
(270) 579-1784
Mailing address
113 DORIS AVE, GLASGOW, KY 42141-3413
(270) 579-1784
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1659
KY
Other
Enumeration date
09/20/2007
Last updated
03/07/2012
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