Individual
MRS. JANIS KATHLEEN BEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1200 N CENTRAL AVE, KISSIMMEE, FL 34741-4450
(407) 201-7429
Mailing address
105 MANDARIN LN, FRUITLAND PARK, FL 34731-3001
(765) 414-1803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A4223
MD
225200000X
Physical Therapy Assistant
Primary
PTA32927
FL
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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