Individual
KRISTEN BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1301A HARRISON AVE, MCCOMB, MS 39648-2829
(601) 250-5455
(601) 250-5453
Mailing address
1301A HARRISON AVE, MCCOMB, MS 39648-2829
(601) 250-5455
(601) 250-5453
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA32507
MS
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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