Individual
MISS BEATRICE A UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
140 UPSHAW LN, DOUGLASS, TX 75943-3117
(936) 554-3493
Mailing address
140 UPSHAW LN, DOUGLASS, TX 75943-3117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103212
TX
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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