Individual
BEVERLY ANNE HEBELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-3130
Mailing address
4466 W BRISTOL RD, FLINT, MI 48507-3170
(810) 733-1200
(810) 733-3130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010072
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B512060
BCBS
MI
01
—
0N45090
GRP MEDICARE PTAN
—
01
—
1215930490
TYPE 2 NPI
MI
05
—
477-4403
—
MI
Enumeration date
07/08/2006
Last updated
06/17/2010
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