Individual
OLIVIA BEOUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
781 FAIRGROUNDS RD STE A, MOUNT VERNON, OH 43050-1165
(740) 263-7997
Mailing address
6832 POSSUM ST, MOUNT VERNON, OH 43050-9340
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011251
OH
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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