Individual
MS. VICKI LYNN BEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
9161 SIERRA AVE, SUIET 111, FONTANA, CA 92335-4729
(909) 427-4073
(909) 427-4736
Mailing address
738 GREENWOOD AVE, SAN BERNARDINO, CA 92407-1008
(909) 880-1655
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
11/29/2021
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