Individual
ELIZABETH DEVIN BEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
574 E MAIN ST, INDEPENDENCE, VA 24348-3879
(276) 773-8118
Mailing address
574 E MAIN ST, INDEPENDENCE, VA 24348-3879
(276) 773-8118
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603637
VA
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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