Individual
DR. BEVERLY JOAN MIRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5400 SHAWNEE RD STE 104, ALEXANDRIA, VA 22312
(703) 256-4830
(703) 256-4826
Mailing address
5645 FRIARS RD UNIT 339, SAN DIEGO, CA 92110-2531
(661) 414-6090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211850
VA
225100000X
Physical Therapist
293304
CA
Other
Enumeration date
03/28/2018
Last updated
06/01/2018
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