Individual
ANDREW BEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025
(248) 712-4266
Mailing address
32100 TELEGRAPH RD STE 205, BINGHAM FARMS, MI 48025-2454
(248) 712-4266
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009225
MI
Other
Enumeration date
02/28/2017
Last updated
06/12/2018
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