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Individual

STACEY E BEATTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
111 HEADWATERS DR, HARWICH, MA 02645-1028
(508) 430-1717
Mailing address
15 IYANOUGH RD, HYANNIS, MA 02601-4728
(774) 487-7513

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13669
MA

Other

Enumeration date
01/25/2021
Last updated
01/25/2021
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