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Individual
MRS. REGINA ANN BEATUS
Active
Individual
MRS. REGINA ANN BEATUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., P.T., C.H.T
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15397
MD
2251H1200X
Hand Physical Therapist
15397
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JO37
BCBS
MD
01
—
R7570001
BLUE CHOICE
MD
Enumeration date
03/10/2006
Last updated
01/25/2008
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