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Individual

JASON PAUL BEAMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
905 NEWGATE LN, WILMINGTON, DE 19808-1527
(302) 636-9363
Mailing address
905 NEWGATE LN, WILMINGTON, DE 19808-1527
(302) 636-9363

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
J1-0001410
DE

Other

Enumeration date
01/17/2014
Last updated
01/17/2014
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