Christina Lynn Beeksma, COTA

Individual provider Active NPI Occupational Therapy Assistant · Ironwood, MI

NPI 1124286257 · NPPES record last updated May 27, 2008

Key facts

NPI
1124286257
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
5202226888 (MI)
Practice address
203 E Northland Ave
Ironwood, MI 49938-1363
Phone
(906) 932-4833
NPI assigned
May 27, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5202226888MIMDOccupational Therapy Assistant
1753-027WIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1753-027 WI
Occupational Therapy Assistant 224Z00000X 5202226888 MI Yes

Addresses

Primary practice location

203 E Northland Ave
Ironwood, MI 49938-1363

Mailing address

203 E Northland Ave
Ironwood, MI 49938-1363
Phone (906) 932-4833

Other providers in Ironwood, MI

All providers in Ironwood, MI · Occupational Therapy Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.