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Individual

BETH CUMMINGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11512 LAKE MEAD AVE UNIT 604, JACKSONVILLE, FL 32256-9686
(904) 652-5408
Mailing address
13405 FOXHAVEN DR N, JACKSONVILLE, FL 32224-2003
(904) 962-2977

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13478
FL

Other

Enumeration date
01/30/2015
Last updated
12/23/2019
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