Christopher Beavers, COTA/L

NPI 1760743991 · on the registry since 2012 · sole proprietor

Practice

Address: 4335 W Pine Blvd
Saint Louis, MO 63108
Phone: (314) 371-0200
Organisation at this address: Bernard Snf Opco Llc
Bernard Care Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri