Individual
BEATRICE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001276
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10047134
—
GA
05
—
340946
—
GA
01
—
52703833
BLUE CROSS BLUE SHIELD
GA
Enumeration date
08/09/2005
Last updated
07/09/2007
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