Individual
MR. KWADIS JAMES BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
90 A CLARK BLVD, TUPELO, MS 38801
(662) 840-0535
(662) 842-7915
Mailing address
PO BOX 3592, TUPELO, MS 38803-3592
(662) 840-0535
(662) 842-7915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1630
MS
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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