Individual
BONNIE BEAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13300 HARGRAVE RD, SUITE 400, HOUSTON, TX 77070-4373
(281) 955-7577
(281) 955-5875
Mailing address
PO BOX 4396, HOUSTON, TX 77210-4396
(281) 955-7577
(281) 955-5875
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2001426
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001426
LISENCE NUMBER
TX
Enumeration date
01/04/2007
Last updated
07/08/2007
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