Individual
JULIE BEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 1360, HUNTINGTON, WV 25715-1360
(304) 696-8823
Mailing address
2268 N 2975 E, LAYTON, UT 84040-7600
(801) 895-9435
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005282
OH
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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