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Individual

BEVERLY BASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L, CHT, CLT

Contact information

Practice address
6100 BARTRAM VILLAGE DRIVE, JACKSONVILLE, FL 32258
(813) 546-4542
Mailing address
14595 FALLING WATERS DR, JACKSONVILLE, FL 32258-1162
(813) 546-4542

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12502
FL

Other

Enumeration date
06/12/2007
Last updated
06/14/2018
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