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1699979005
BEVERLY BASS
JACKSONVILLE, FL
NPI
1699979005
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Former Name
BEVERLY FLOOD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT12502)
Enumeration Date
2007-06-12
Last Update Date
2018-06-14
Business Address
BEVERLY BASS OTD, OTR/L, CHT, CLT
6100 BARTRAM VILLAGE DRIVE
JACKSONVILLE, FL 32258
Phone number: 813-546-4542
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Mailing Address
BEVERLY BASS OTD, OTR/L, CHT, CLT
14595 FALLING WATERS DR
JACKSONVILLE, FL 32258-1162
Phone number: 813-546-4542
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