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Individual

DIANE BEVERLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
51 W SAMPLE RD, POMPANO BEACH, FL 33064-3542
(954) 942-5530
Mailing address
1967 S OCEAN BLVD, 311, POMPANO BEACH, FL 33062-8014

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0010442
FL
225100000X
Physical Therapist
003452
NY
225100000X
Physical Therapist
2481
CT
225100000X
Physical Therapist
60003825
WA

Other

Enumeration date
07/13/2008
Last updated
07/13/2008
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