Provider Demographics
NPI:1013954379
Name:BEITZEL, PATRICIA F (OT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:F
Last Name:BEITZEL
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5206 GEORGIES LN
Mailing Address - Street 2:
Mailing Address - City:CHINCOTEAGUE ISLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23336-2232
Mailing Address - Country:US
Mailing Address - Phone:757-336-1719
Mailing Address - Fax:
Practice Address - Street 1:6751 MADDOX BLVD
Practice Address - Street 2:
Practice Address - City:CHINCOTEAGUE ISLAND
Practice Address - State:VA
Practice Address - Zip Code:23336-2253
Practice Address - Country:US
Practice Address - Phone:757-336-5330
Practice Address - Fax:757-336-5355
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119003068225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist