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Individual

MRS. ANGELA G BEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
204 GREENBRIER RD, DANIELS, WV 25832-9703
(304) 890-3480
Mailing address
204 GREENBRIER RD, DANIELS, WV 25832-9703
(304) 763-5121

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1641
WV

Other

Enumeration date
12/05/2015
Last updated
12/05/2015
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