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Individual

DR. BEVERLY L. SEREDICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
554 TWIN CITIES BLVD, NICEVILLE, FL 32578-1066
(850) 729-3325
(850) 729-2052
Mailing address
554 TWIN CITIES BLVD, NICEVILLE, FL 32578-1066
(850) 729-3325
(850) 729-2052

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
056005828
IL
225XH1200X
Hand Occupational Therapist
Primary
17913
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17913
OT LICENSE
FL
Enumeration date
09/25/2007
Last updated
08/16/2016
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