Individual
CARLA BEISKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
540 KINGSLEY AVE, ORANGE PARK, FL 32073-4847
(904) 264-2156
Mailing address
1727 PICKWICK PL, ORANGE PARK, FL 32003-7290
(904) 278-8168
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4255
FL
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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