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Individual

BEVERLY ANN HOUSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
410 10TH AVE W, PALMETTO, FL 34221-5032
(941) 722-3582
(941) 720-8322
Mailing address
410 10TH AVE W, PALMETTO, FL 34221-5032
(941) 722-3582
(941) 729-8322

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24589
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000813500
FL
05
001622100
FL
Enumeration date
01/22/2008
Last updated
01/12/2010
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