Jamie Nicole Beatty, COTA
NPI #1063008597 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1063008597
- Entity Type
- Individual
- Name
- Jamie Nicole Beatty, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Dec 18, 2020
- Last Updated
- Dec 18, 2020
Practice Location
- Address
- 6277 CENTER GROVE RD
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-3309
- Phone
- (618) 659-0605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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| Courtney Nicole Woll, COTA/L |
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