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NPI Profile for ELISABETH BEAVAN in SOUTHOLD, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI Number | 1346331956 |
|
| Status | Active | |
| Credentials | OTR (Registered Occupational Therapist) | |
| Entity | Individual | |
| Enumeration date | 09/27/2006 | |
| Last updated | 01/06/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ELISABETH BEAVAN
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ELISABETH BEAVAN, OTR