Individual
BARBARA ANN BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2207 CONCORD AVE NW, SUITE #100, CORYDON, IN 47112
(812) 738-3616
(812) 738-3619
Mailing address
2207 CONCORD AVE NW, SUITE #100, CORYDON, IN 47112
(812) 738-3616
(812) 738-3619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002502A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05002502A
PT LIC#
IN
Enumeration date
10/13/2006
Last updated
07/08/2007
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