Individual
MRS. PENNY BEAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17000 W NORTH AVE, BROOKFIELD, WI 53005-4423
(262) 780-4300
(262) 780-4301
Mailing address
N49W27819 S WILLOW CREEK DR, PEWAUKEE, WI 53072-1029
(262) 780-4300
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2585-24
WI
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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