Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYNETTE RAE BEADLES, OTR
Active Sole ProprietorLYNETTE RAE BEADLES, OTR is a Occupational Therapist healthcare provider located in MEADOW VISTA, California. NPI 1285862979 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · MEADOW VISTA, CA
Registration Details
- NPI Number
- 1285862979
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2009 (17.110601962888 yrs)
- Last Updated
- Jul 1, 2009
- License
-
89503 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16981 PLACER HILLS RD - B-7MEADOW VISTA, CA, 95722Browse CA providers · Browse ZIP 95722
- Phone
- 5308788129
- Fax
- 5308788195
- Primary Specialty
-
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.