Individual
CERIAN JEAN BEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4105 BEECHNUT LN, DURHAM, NC 27707-5249
(612) 501-8662
Mailing address
4105 BEECHNUT LN, DURHAM, NC 27707-5249
(612) 501-8662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P14965
NC
2251P0200X
Pediatric Physical Therapist
2969
NE
2251P0200X
Pediatric Physical Therapist
Primary
P14965
NC
Other
Enumeration date
06/09/2011
Last updated
09/08/2014
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