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Individual
MICHELLE BEAMER
Active
Individual
MICHELLE BEAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202439
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010034612
—
VA
01
—
102811
BCBS AQUATIC
VA
01
—
150718500
DEPT OF LABOR
VA
01
—
16040
COMMUNITY HEALTH GRP
VA
01
—
194082
BCBS GROUP # FR
VA
01
—
194083
BCBS GROUP # WI
VA
01
—
194085
BCBS GROUP # WS
VA
01
—
277958
MAMSI
VA
01
—
4576361
GROUP #
VA
01
—
460032
BCBS INDIVIDUAL
VA
01
—
541966445
UHC
VA
01
—
650024447
RR MEDICARE
VA
Enumeration date
10/11/2006
Last updated
08/02/2010
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