Individual
ASHLEY BEBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
450 LAKE DR, MELLEN, WI 54546-9750
(888) 873-4221
Mailing address
450 LAKE DR, MELLEN, WI 54546-9750
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
B1000138856906
WI
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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