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LYNETTE RAE BEADLES OTR

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1285862979

Individual Registrant:
 LYNETTE RAE BEADLES OTR
Gender: F
Sole Proprietor

Location and contact information for practice:
16981 PLACER HILLS RD - B-7  MEADOW VISTA, CA 95722 US
Tel: 530-878-8129  Fax: 530-878-8195

Contact information for business:
16981 PLACER HILLS RD - B-7  MEADOW VISTA, CA 95722 US
Tel: 530-878-8129  Fax: 530-878-8195

Registration Information:
NPI: 1285862979
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
CA89503

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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