Individual
MRS. MICHELE A BEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1351 MCFARLAND BLVD NE, SUITE 104, TUSCALOOSA, AL 35406-2265
(205) 344-4443
(205) 344-4055
Mailing address
1351 MCFARLAND BLVD NE, SUITE 104, TUSCALOOSA, AL 35406-2265
(205) 344-4443
(205) 344-4055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3069
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51521175
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/19/2006
Last updated
07/08/2007
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