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Individual

ALYSSA BEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
815 KOEHLER AVE, SHERWOOD, AR 72120-5929
(501) 517-2794
Mailing address
815 KOEHLER AVE, SHERWOOD, AR 72120-5929
(501) 517-2794

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19659
CA
225X00000X
Occupational Therapist
409830
OR
225X00000X
Occupational Therapist
60892976
WA

Other

Enumeration date
05/01/2019
Last updated
05/01/2019
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