Individual
BEVERLY SHAYO OWOYELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12005 SUNRISE VALLEY DR STE T40, RESTON, VA 20191-3468
(703) 860-2391
Mailing address
630 LEMON DR, ARLINGTON, TX 76018-1692
(682) 365-4810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1291086
TX
Other
Enumeration date
06/05/2017
Last updated
07/27/2021
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