Individual
MRS. HEATHER L BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1415 LINCOLNWAY W, SUITE M, OSCEOLA, IN 46561-2062
(574) 675-7767
(574) 675-9344
Mailing address
22 BARBERRY DR, OSCEOLA, IN 46561-9574
(574) 315-7604
(574) 675-9344
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003315A
IN
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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