Individual
KELSEY BEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 ECHO ST, PIERSON, FL 32180-2245
(305) 923-8840
Mailing address
149 ECHO ST, PIERSON, FL 32180-2245
(305) 923-8840
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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