Individual
BEENA MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4660 S HAGADORN RD STE 400, EAST LANSING, MI 48823-5353
(517) 355-7648
(517) 432-1319
Mailing address
804 SERVICE RD STE A202, EAST LANSING, MI 48824-7015
(517) 355-7648
(517) 432-1319
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501008344
MI
Other
Enumeration date
11/05/2013
Last updated
09/04/2024
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