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NPI Code Detail

MEDICARE: BARBARA BEAVEN OTA

MEDICARE: BARBARA BEAVEN OTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistOTA 9719FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OTA 9719OTHERFLOCCUPATIONAL THERAPY ASSI

General Provider Information

NPI Number : 1225073612
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA BEAVEN OTA
Provider Business Mailing Address
First Line : 2215 E HENRY AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-4432
Country : US
Telephone Number : 813-239-1179
Fax Number : 813-237-3091
Provider Business Practice Location Address
First Line : 2215 E HENRY AVE
Second Line :
City : TAMPA
State : FL
Zip : 33610-4432
Country : US
Telephone Number : 813-239-1179
Fax Number : 813-237-3091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 07/08/2007

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Directions to “ BARBARA BEAVEN OTA” Practice Location

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