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Individual

MRS. JESSICA ANN BEATTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.T.A.

Contact information

Practice address
150 N ROSENBERGER AVE, EVANSVILLE, IN 47712-6503
(812) 568-9154
Mailing address
3933 COUNTRY PLACE DR, NEWBURGH, IN 47630-2223
(812) 490-9302

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000993A
IN

Other

Enumeration date
01/15/2007
Last updated
07/08/2007
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