Individual
KAYLA BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
400 S INDEPENDENCE AVE, INDEPENDENCE, VA 24348-3972
(276) 773-0303
(484) 813-6530
Mailing address
PO BOX 14, AUSTINVILLE, VA 24312-0014
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000910
VA
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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