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NPI Code Detail

MEDICARE: EMILY BECKMAN

MEDICARE: EMILY BECKMAN
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
1225XP0200XPediatric Occupational TherapistOT20276FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720627680
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY BECKMAN
Provider Business Mailing Address
First Line : 23 CORMORANT CIR
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32119-8799
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23 CORMORANT CIR
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32119-8799
Country : US
Telephone Number : 386-212-9995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2019
Last Update Date : 08/01/2023

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