Provider Demographics
NPI:1548393481
Name:BESCHEN, ANGELA KAYE (COTA)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:KAYE
Last Name:BESCHEN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8445 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:QUINTON
Mailing Address - State:VA
Mailing Address - Zip Code:23141-2434
Mailing Address - Country:US
Mailing Address - Phone:804-932-4335
Mailing Address - Fax:
Practice Address - Street 1:8445 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:QUINTON
Practice Address - State:VA
Practice Address - Zip Code:23141-2434
Practice Address - Country:US
Practice Address - Phone:804-932-4335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2009-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1027628224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant