Lynette R. Beadles

NPI 1003017195 - Occupational Therapist - 225X00000X

NPI Details
NPI 1003017195
Enumeration Date 05/29/2007
Last Updated 08/04/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LYNETTE RAE LYNETTE
Position OWNER OPERATOR
Phone (530) 878-8129
Fax (530) 878-8195
Practice Location
16981 PLACER HILLS RD
B-7
MEADOW VISTA CA, 95722, US
Phone (530) 878-8129
Fax (530) 878-8195
Business Location
16981 PLACER HILLS RD
B-7
MEADOW VISTA CA, 95722, US
Phone (530) 878-8129
Fax (530) 878-8195
Toxanomy
Taxonomy Code 225X00000X
License State California
License Number 89503
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According to our database, Lynette R. Beadles NPI is 1003017195, taxonomy code is 225X00000X and license number is 89503, license state is located at California. Lynette R. Beadles physically located at 16981 Placer Hills Rd, Meadow Vista CA, 95722. NPI Number 1033115704 has the healthcare provider type.

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1003017195 NPI number is provided on an as is basis without warranty of any kind. 1003017195 is maintained by the National Plan & Provider Enumeration System. The contents of Lynette R. Beadles are for informational purposes only.