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Individual

BETH BEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR, ATP

Contact information

Practice address
601 CHILDREN'S LANE, 5TH FLOOR, WHEELCHAIR CLINIC, NORFOLK, VA 23507
(757) 668-9685
(757) 668-9111
Mailing address
601 CHILDREN'S LANE, 5TH FLOOR, WHEELCHAIR CLINIC, NORFOLK, VA 23507
(757) 668-9685
(757) 668-9111

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119000181
VA
225XP0200X
Pediatric Occupational Therapist
1294
NC

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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