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Individual

BEVERLY NICOLE MCGINNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1600 MURDOCH AVE STE 100, PARKERSBURG, WV 26101-3248
(304) 485-8040
(304) 485-4883
Mailing address
16 STERLING DR STE 102, BRIDGEPORT, WV 26330-9133
(681) 342-2133

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002659
WV
225100000X
Physical Therapist
PT010133
OH
225100000X
Physical Therapist
PT30196
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016202100
FL
05
2544572
OH
05
3810011451
WV
Enumeration date
12/05/2007
Last updated
06/25/2021
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