Individual
JUSTIN BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11401 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-1402
(904) 260-1818
Mailing address
11401 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-1402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15981
FL
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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