LAURA LYNN BEACH

CALDWELL, TX
NPI1942591003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  211157)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: WI  4730-027)
224Z00000X Occupational Therapy Assistant
(Licence: MO  2010026802)
Enumeration Date2011-04-25
Last Update Date2011-04-25
Business Address
-- LAURA LYNN BEACH COTA/L
1022 STATE HIGHWAY 21 E
CALDWELL, TX 77836-4611
Phone number: 979-567-8408
Mailing Address
-- LAURA LYNN BEACH COTA/L
1022 STATE HIGHWAY 21 E
CALDWELL, TX 77836-4611
Phone number: 979-567-8408