Individual
MIYOSHA BEECHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1010 W MAIN ST, HENDERSON, TX 75652-2923
(903) 657-6549
(903) 657-9061
Mailing address
102 SUZY LN, HENDERSON, TX 75652-6071
(903) 646-6979
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209467
TX
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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