Individual
AVERY BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
249 MACK BAYOU LOOP STE 101, SANTA ROSA BEACH, FL 32459-7197
(850) 622-0842
Mailing address
821 FAIRWAY LAKES DR, NICEVILLE, FL 32578-3845
(223) 335-3212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
34582
FL
225100000X
Physical Therapist
Primary
PT34582
FL
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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