Individual
LAURA BEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
339 STREETT CIR, FOREST HILL, MD 21050-3070
(443) 617-3205
Mailing address
339 STREETT CIR, FOREST HILL, MD 21050-3070
(443) 617-3205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000619
MD
2255A2300X
Athletic Trainer
J3-0000548
DE
Other
Enumeration date
02/15/2015
Last updated
02/15/2015
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