Individual
MRS. JULIE N BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4953
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12010439
CAQH
AL
Enumeration date
04/23/2007
Last updated
05/31/2018
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