Most Relevant Information
Provider Data
| NPI Number: | 1003456799 |
| Provider Name: | BEVERLY PRAY OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225XP0200X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/09/2020 |
| Last Updated: | 01/09/2020 |
Provider Practice Location
1906 FAIRVIEW AVE STE 330
CALDWELL
ID
836055425
Practice Location Phone/Fax
| Phone: | 2083853680 |
| Fax: |
Provider Mailing Location
4327 N CEDAR ST
SPOKANE
WA
992051326
Provider Mailing Phone/Fax
| Phone: | 5092631408 |
| Fax: |